BACKGROUND: Crusted scabies is a severe, @entity74 associated with immune suppression. Affected individuals typically present with crusted @entity75 in a variety of locations. This condition can lead to severe complications: institutional outbreaks and secondary @entity2348 associated with @entity295 and high mortality. MAIN OBSERVATIONS: A 37-year-old @entity1 with a 12-year history of @entity1252 treated with @entity229 , @entity1499 , and @entity6383 presented with a three-week history of a @entity158 scalp @entity1910 with adherent yellow scale. Skin biopsy and tissue culture were consistent with a diagnosis of crusted scabies with superficial @entity2348 . The @entity1 was treated with oral @entity3070 and @entity315 cream, as well as @entity2177 for the @entity2348 . At one-week follow-up, the scalp was no longer tender and hyperkeratotic plaques had significantly improved. At one-month follow-up, the affected scalp demonstrated further improvement with decreasing erythema and @entity1665 with follicular ostia. CONCLUSIONS: Our case highlights the atypical presentation of crusted scabies with primary scalp involvement and need for vigilance in recognizing and appropriately treating this condition to prevent the consequences of longstanding infection. Combination treatment with @entity3070 and @entity315 is appropriate management for this condition.

Crusted scabies of the scalp in a @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity3070 :: ('MESH:D007559', 'Chemical') :: ['ivermectin'] @entity1665 :: ('MESH:D000505', 'Disease') :: ['alopecia'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity1910 :: ('MESH:D005076', 'Disease') :: ['rash'] @entity75 :: ('MESH:D001927', 'Disease') :: ['hyperkeratotic lesions'] @entity229 :: ('MESH:D011241', 'Chemical') :: ['prednisone'] @entity2348 :: ('MESH:D001424', 'Disease') :: ['bacterial infections', 'bacterial infection'] @entity1252 :: ('MESH:D008180', 'Disease') :: ['systemic lupus erythematosus'] @entity2177 :: ('MESH:D002939', 'Chemical') :: ['ciprofloxacin'] @entity6383 :: ('MESH:D006886', 'Chemical') :: ['plaquenil'] @entity315 :: ('MESH:D026023', 'Chemical') :: ['permethrin'] @entity74 :: ('MESH:D030342', 'Disease') :: ['hyperkeratotic, psoriasiform disorder'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful'] @entity1499 :: ('MESH:D008727', 'Chemical') :: ['methotrexate']
@entity1252 :: (MESH:D008180,Disease) :: ['systemic lupus erythematosus']
