© 2004 BMJ Publishing Group Ltd
CASE REPORT
Localised genital Norwegian scabies in an AIDS patient
Department of Dermatology, Baylor College of Medicine, Houston, TX, USA
Correspondence to:
Correspondence to:
Theodore Rosen
MD, Department of Dermatology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; tedrosenmd{at}aol.com
Objectives: We present a case of an AIDS patient with Norwegian scabies manifest by a single, crusted plaque localised to the glans penis.
Methods: A 45 year old man with AIDS presented to our clinic complaining of a red papular pruritic rash on his abdomen and anterior thighs and a single, thick, crusted, non-pruritic lesion on the penis. He had been treated with lindane topically prior to the development of the penile lesion without resolution of the pruritus or red papular lesions. A mineral oil preparation was obtained from the hyperkeratotic penile lesion and revealed numerous mite eggs and faeces.
Results: The diagnosis of localised, genital Norwegian scabies was made. The patient was treated with ivermectin 200 µg/kg per dose taken as two doses, 14 days apart, with complete resolution of both pruritus and skin lesions.
Conclusions: This patient is the first known report of Norwegian scabies localised as a single lesion on the penis. He was successfully treated with oral ivermectin monotherapy.
Keywords: Norwegian (crusted) scabies; AIDS; ivermectin
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Sex Transm Inf 2004 80: 1.
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