Stephen P. Stone

Are You Confident of the Diagnosis? Crusted scabies (also called Norwegian scabies) is a highly contagious variant of scabies in which there are thousands or even millions of mites, associated with psoriasiform scaling patches. The patient may complain of severe itching just as is seen in classical scabies, but more commonly, there is minimal to…

Are You Confident of the Diagnosis? What to be alert for in the history The sine qua non for the diagnosis of scabies is pruritus. As always, there is an exception: the elderly, the immunosuppressed, and certain individuals with physical or mental limitations may manifest exaggerated scabies without obvious itching (Exaggerated, Crusted or Norwegian Scabies.)…