Journal of the American Podiatric Medical Association Volume
94 Number 6 583-586 2004 Copyright © 2004 American Podiatric Medical
Association
Norwegian Scabies in the Immunocompromised Patient
Greg Grabowski, DPM *,
Alicia Kanhai, MS, DPM *, Richard Grabowski,
MD , Jean Holewinski, DPM and Marie L. Williams,
DPM *
* Parkway Regional Medical Center, North Miami
Beach, FL.
Private practice, Washington, DC.
Private practice, Miami, FL.
Corresponding author: Greg Grabowski, DPM, Parkway
Regional Medical Center, 160 NW 170th St, North Miami Beach, FL 33169.
Abstract
Norwegian, or crusted, scabies can be defined as a generalized
severe scabies (Sarcoptes scabiei var. hominis)
infestation usually affecting the immunocompromised patient that is
most commonly seen with the leukemia-lymphoma group of
neoplasms. The diagnosis is commonly missed, which can lead to
mismanagement. We describe a patient with Norwegian scabies involving
the lower extremities. The patient circumstances and treatment, as
well as a review of the literature, are presented. The diagnosis
of scabies should always be considered in patients with advanced
malignancies and associated pruritus. (J Am Podiatr Med Assoc
94(6): 583–586, 2004) |