A 86-year-old fully bedridden woman with dementia and chronic kidney disease presented with extensive, grey-yellowish hyperkeratotic plaques located on the palms, axillae, chest, and face that had occurred 3 months ago (Fig. 1). Moreover, a generalized rash with thickening of the skin and intense pruritus was present. Dematoscopy revealed several dense triangles suspicious for scabies mites hea...

Crusted scabies is the most severe presentation of infection related to the bite of the mite Sarcoptes scabiei var hominis. It is usually seen in patients with an underlying immunosuppressive condition. Case reports and studies suggest that infection with human T-cell lymphotropic virus 1 (HTLV-1) is a major predisposing factor to S scabiei infestation. This case report describes severe crusted...