PMC6677688_01
PMC6677688_02
PMC6677688_03
Extensive involvement of bilateral hands with growth and crusts at patient's pre-operative assessment prior to establishment of Norwegian Scabies diagnosis.
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Now, three years after his initial assessment, the involvement was so advanced that his hands were essentially nonfunctional due to pain and extensive growth, so he was scheduled for debridement (Fig. 1).
Imaging of initial right hand debridement from pathology report showing cross section of Scabies mite (black arrow), used in confirming patient diagnosis of Norwegian Scabies.
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He underwent tangential right hand excisional debridement, 12 x 15 cm, for which pathology was positive for Norwegian Scabies infestation (Fig. 2).
Examination of right hand two months following debridement of crusts and confirmation of Norwegian Scabies diagnosis; left hand, pre debridement, shows extent of disease in comparison.
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Two months later he was reassessed, and the treatment was repeated for his left hand (Fig. 3, Fig. 4).
Reassessment at five months from the index right hand debridement and three months from the left hand debridement, showing improved appearance, range of motion, and relief of symptoms.
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The patient was seen three months following his left hand debridement, and exhibited resolution of pain, significant increase in range of motion and functionality of his hands, as well as strikingly improved appearance (Fig. 5).