Localised genital Norwegian scabies in an AIDS patient.
OBJECTIVE
We present a case of an AIDS patient with Norwegian scabies manifest by a single, crusted plaque localised to the glans penis.


METHODS
A 45 year old man with AIDS presented to our clinic complaining of a red papular pruritic rash on his abdomen and anterior thighs and a single, thick, crusted, non-pruritic lesion on the penis. He had been treated with lindane topically prior to the development of the penile lesion without resolution of the pruritus or red papular lesions. A mineral oil preparation was obtained from the hyperkeratotic penile lesion and revealed numerous mite eggs and faeces.


RESULTS
The diagnosis of localised, genital Norwegian scabies was made. The patient was treated with ivermectin 200 micro g/kg per dose taken as two doses, 14 days apart, with complete resolution of both pruritus and skin lesions.


CONCLUSIONS
This patient is the first known report of Norwegian scabies localised as a single lesion on the penis. He was successfully treated with oral ivermectin monotherapy.
Perna
A G
AG
Department of Dermatology, Baylor College of Medicine, Houston, TX 77030, USA.
Bell
K
K
Rosen
T
T
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000977:Antiparasitic Agents / Q000627:therapeutic use; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012532:Scabies / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D000977:Antiparasitic Agents; D007559:Ivermectin