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Dermatology · Infestations: crusted scabies
Sample itemA patient on long-term oral steroids has thick warty crusts on the hands and feet with thousands of mites and highly contagious spread. What is this form called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Crusted (Norwegian) scabies
Crusted scabies occurs in immunosuppressed, elderly or institutionalised patients and carries thousands of mites. It requires repeated oral ivermectin with topical scabicides and keratolytics, and isolation.
Option by option
A. Crusted (Norwegian) scabies (correct)
Correct. Hyperkeratotic crusts with huge mite burden define this form.
B. Scabies incognito
Scabies incognito refers to atypical disease modified by topical steroids.
C. Nodular scabies
Nodular scabies shows persistent itchy nodules in covered sites.
D. Bullous scabies
Bullous scabies resembles pemphigoid.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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