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Discussion Starter · #1 ·
A 44 year old man presented with generalised crusted itchy rash that involves wide areas of the body. He's a know diabetic and has been serving in prison for the last two years. Skin rash is showed below (click image to enlarge).

scabies.jpg

The physician is suspecting scabies. What is the most appropriate therapy for this patient?

A- Topical Permethrin
B- Oral Ivermectin
C- Lindane
D- Topical Permethrin and oral Ivermectin
E- Topical antibacterial creams
 

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Generalized itchy rash in a debilitated/immunocompromised patient is treated with topical permethrin and oral ivermectin.{disease-norwegian scabies}
 

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Discussion Starter · #4 ·
Norwegian Scabies

This is Norwegian Scabies and it's a very severe systemic disease and we should hit both locally and systemically and therefore Choice D is the correct answer.
 

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Discussion Starter · #5 ·
The interesting thing is that there's another condition seen in a Swedish or Norwegian patient with itching!
It's intrahepatic cholestasis of pregnancy :cool:
 
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