{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:29:17Z","timestamp":1787758157285,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"\n \n \n Scabies, caused by the mite\n Sarcoptes scabiei var hominis<\/jats:italic>\n , is a common infestation that presents with intense itching. Crusted scabies, also known as Norwegian scabies, is a severe variant of classic scabies that is characterized by hyperkeratotic lesions and often manifests in immunosuppressed patients. There is both a high parasitic load and high infectivity with this form of scabies because crusted scabies can look similar to many conditions including psoriasis, eczema, and seborrheic dermatitis, diagnosis can be difficult and is based on both clinical findings and microscopic detection of the scabies mite, eggs, or fecal material (scybala). We describe a case of a 64-year-old female patient diagnosed with crusted scabies.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_143_21","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T05:11:16Z","timestamp":1659330676000},"page":"4051-4053","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Exaggerated hyperkeratosis in a nursing home patient"],"prefix":"10.4103","volume":"11","author":[{"given":"Caroline","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendi","family":"Wohltmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Krikoriantz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-115-20240828","first-page":"202","article-title":"Misdiagnosed crusted scabies in an AIDS patient leads to hyperinfestation","volume":"99","author":"Yari","year":"2017","journal-title":"Cutis"},{"key":"R3-115-20240828","first-page":"287","article-title":"What's eating you?Scabies in the developing world","volume":"100","author":"Salgado","year":"2017","journal-title":"Cutis"},{"key":"R4-115-20240828","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1128\/CMR.00042-06","article-title":"Problems in diagnosing scabies, a global disease in human and animal populations","volume":"20","author":"Walton","year":"2007","journal-title":"Clin Microbiol Rev"},{"key":"R5-115-20240828","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jamda.2013.11.002","article-title":"Scabies in the nursing home, misdiagnosis means costs, and embarrassment:Story of a centenarian smitten by scabies!","volume":"15","author":"Murakonda","year":"2014","journal-title":"J Am Med Dir Assoc"},{"key":"R6-115-20240828","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.jaad.2019.05.109","article-title":"Ectoparasites:Scabies","volume":"82","author":"Thomas","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"R8-115-20240828","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s13555-019-00325-2","article-title":"Review of scabies in the elderly","volume":"9","author":"Raffi","year":"2019","journal-title":"Dermatol Ther (Heidelb"},{"key":"R10-115-20240828","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1136\/bmj.331.7517.619","article-title":"Scabies:Diagnosis and treatment","volume":"331","author":"Johnston","year":"2005","journal-title":"BMJ"},{"key":"R11-115-20240828","doi-asserted-by":"crossref","first-page":"281","DOI":"10.11622\/smedj.2019058","article-title":"Management of scabies","volume":"60","author":"Vasanwala","year":"2019","journal-title":"Singapore Med J"},{"key":"R12-115-20240828","doi-asserted-by":"crossref","first-page":"e2387","DOI":"10.1371\/journal.pntd.0002387","article-title":"A novel clinical grading scale to guide the management of crusted scabies","volume":"7","author":"Davis","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"R13-115-20240828","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/1203475420960446","article-title":"Scabies:Diagnostic and therapeutic update","volume":"25","author":"Richards","year":"2021","journal-title":"J Cutan Med Surg"},{"key":"R14-115-20240828","doi-asserted-by":"crossref","first-page":"e0008994","DOI":"10.1371\/journal.pntd.0008994","article-title":"Crusted scabies;a 2-year prospective study from the Northern territory of Australia","volume":"14","author":"Hasan","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"key":"R15-115-20240828","first-page":"436","article-title":"A case of crusted scabies with a delayed diagnosis and inadequate therapy","volume":"28","author":"Bonazzetti","year":"2020","journal-title":"Infez Med"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_143_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:07:30Z","timestamp":1787756850000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_143_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_143_21","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}