PMC4857688_01
(a) Thick yellowish-white crusted plaques on the face (periorbital region), on admission. (b) Thick yellowish-white crusted plaques on trunk, on admission
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F1
Bilateral multiple yellowish crusted plaques were present on the face, chest, back, abdomen, both upper limbs, and lower limbs including palms and soles [Figure 1a and b].
Potassium hydroxide examination of crust showing scabies mite
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F2
10% potassium hydroxide examination of the crust revealed scabies mite [Figure 2].
Transverse section showing multiple scabies mites seen in stratum corneum (H and E)
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F3
Histopathological study revealed the presence of transverse section of mites in stratum corneum, hyperkeratosis, acanthosis, elongated rete ridges, and dermal inflammatory infiltrate consisting of mononuclear cells and eosinophils [Figure 3].
(a) Reduced crusting on face after oral ivermectin, two applications of topical permethrin (5%) cream, and topical keratolytics. (b) Reduced crusting on trunk after oral ivermectin, two applications of topical permethrin (5%) cream and topical keratolytics
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F4
Patient improved within 10 days without any complications [Figure 4a and b].