title: Atypical scabies in HIV-positive patients.
abstract: Five cases of Norwegian or keratotic scabies in HIV-positive patients are described. One of these patients was the source of an outbreak in a hospital, ultimately involving 72 persons. Three of our patients had a markedly pruritic eruption. This is unusual in crusted scabies in which pruritus is usually slight or absent. Two of the five patients had unusual CD4 counts of more than 200 cells per cubic millimeter. All our patients responded to lindane and keratolytic agents. When generalized papular, crusted, or eczematoid lesions are observed in HIV-positive patients, particularly if the CD4 count is less than 200/mm3, scabies should be included in the differential diagnosis.
authors.affiliation: Services of Internal Medicine, Hospital Txagorritxu, Vitoria-Gasteiz, Spain.
authors.forename: J J
authors.initials: JJ
authors.lastname: Portu
authors.forename: J M
authors.initials: JM
authors.lastname: Santamaria
authors.forename: Z
authors.initials: Z
authors.lastname: Zubero
authors.forename: M V
authors.initials: MV
authors.lastname: Almeida-Llamas
authors.forename: M
authors.initials: M
authors.lastname: Aldamiz-Etxebarria San Sebastian
authors.forename: A R
authors.initials: AR
authors.lastname: Gutiérrez
mesh_terms: D000328:Adult; D018791:CD4 Lymphocyte Count; D003428:Cross Infection; D005260:Female; D015658:HIV Infections / Q000150:complications*; D001556:Hexachlorocyclohexane / Q000627:therapeutic use; D006801:Humans; D007306:Insecticides / Q000627:therapeutic use; D008297:Male; D012532:Scabies / Q000150:complications* / Q000188:drug therapy / Q000635:transmission
chemical_list: D007306:Insecticides; D001556:Hexachlorocyclohexane