case_images: PMC4857688_01
case_images: (a) Thick yellowish-white crusted plaques on the face (periorbital region), on admission. (b) Thick yellowish-white crusted plaques on trunk, on admission
case_images: IJSTD-37-72-g001.jpg
case_images: PMC4857688_01_IJSTD-37-72-g001.jpg
case_images: F1
case_images: Bilateral multiple yellowish crusted plaques were present on the face, chest, back, abdomen, both upper limbs, and lower limbs including palms and soles [Figure 1a and b].
case_images: Potassium hydroxide examination of crust showing scabies mite
case_images: IJSTD-37-72-g002.jpg
case_images: PMC4857688_01_IJSTD-37-72-g002.jpg
case_images: F2
case_images: 10% potassium hydroxide examination of the crust revealed scabies mite [Figure 2].
case_images: Transverse section showing multiple scabies mites seen in stratum corneum (H and E)
case_images: IJSTD-37-72-g003.jpg
case_images: PMC4857688_01_IJSTD-37-72-g003.jpg
case_images: F3
case_images: Histopathological study revealed the presence of transverse section of mites in stratum corneum, hyperkeratosis, acanthosis, elongated rete ridges, and dermal inflammatory infiltrate consisting of mononuclear cells and eosinophils [Figure 3].
case_images: (a) Reduced crusting on face after oral ivermectin, two applications of topical permethrin (5%) cream, and topical keratolytics. (b) Reduced crusting on trunk after oral ivermectin, two applications of topical permethrin (5%) cream and topical keratolytics
case_images: IJSTD-37-72-g004.jpg
case_images: PMC4857688_01_IJSTD-37-72-g004.jpg
case_images: F4
case_images: Patient improved within 10 days without any complications [Figure 4a and b].