title: An elderly long-term care resident with crusted scabies.
abstract: Crusted scabies is a highly contagious form of scabies. Altered immune response, nutritional deficiencies and modified host response are all risk factors for crusted scabies. The authors report a case involving a patient found to have a chronic maculopapular, erythematous rash with large hyperkeratotic, white and grey plaques on the soles of both feet. An ultimate diagnosis of crusted scabies was reached after a delay in diagnosis suspected to be caused by the similarity in appearance to more common skin conditions such as psoriasis. After topical permethrin was unsuccessful, intermittent dosing of oral ivermectin resulted in a rapid reduction in cutaneous plaques.
authors: Michael G DeGroote School of Medicine, Hamilton;
authors: Matthew
authors: M
authors: Sandre
authors: Public Health Ontario Laboratories, Toronto;
authors: Filip
authors: F
authors: Ralevski
authors: Halton Healthcare Services, Oakville; ; University of Toronto School of Medicine, Toronto, Ontario.
authors: Neil
authors: N
authors: Rau
keywords: Crusted; Long-term care; Norwegian; Sarcoptes scabiei; Scabies