Images in Clinical Medicine
Kim Eagle, M.D., Editor
Norwegian Scabies in a Patient with AIDS
N Engl J Med 1994; 331:777September 22, 1994
- Article
Figure 1 Norwegian Scabies in a Patient with AIDS.
A diffuse, nonpruritic, erythematous, macular rash developed in a 43-year-old man with the acquired immunodeficiency syndrome (AIDS) and a CD4+ cell count of 22 per cubic millimeter. Initially, the rash was attributed to a drug eruption (due to either phenobarbital or ciprofloxacin). Approximately one week after the patient discontinued these medications, however, the rash progressed to form hyperkeratotic plaques on the chest, back, shoulders, elbows, and thighs. Panel A shows these hyperkeratotic plaque-like lesions in the shoulder region, where marked fissuring developed. Skin scrapings from multiple body sites revealed abundant scabies mites. Panel B shows a single scabies mite, Sarcoptes scabiei (x 1100). The patient was treated with five applications of 5 percent permethrin cream over a two-week period, and the skin lesions resolved completely.
Kim Eagle, M.D.
David H. Spach, M.D.
Thomas R. Fritsche, M.D., Ph.D.
University of Washington, Seattle, WA 98122- Citing Articles (4)
Citing Articles
1
Thomas Christian Roos, Murad Alam, Sabine Roos, Hans Friedrich Merk, David R. Bickers. (2001) Pharmacotherapy of Ectoparasitic Infections. Drugs 61:8, 1067-1088
CrossRef2
Hayes B. Gladstone, Gary L. Darmstadt. (2000) Crusted Scabies in an Immunocompetent Child: Treatment with Ivermectin. Pediatric Dermatology 17:2, 144-148
CrossRef3
D TAPLIN, T MEINKING. (1997) Treatment of HIV-related scabies with emphasis on the efficacy of ivermectin. Seminars in Cutaneous Medicine and Surgery 16:3, 235-240
CrossRef4
(1995) Scabies. New England Journal of Medicine 332:9, 611-612
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