Crusted scabies, also known as Norwegian scabies, is a severely intensified scabies infection. It is caused by the same parasitical mite that causes standard scabies. The method of infection and its initial development is the same as that of standard scabies. Where they differ is in the fact that in cases of crusted scabies the infestation of the mites goes unregulated, resulting in spreading of the condition throughout the entire body.
This form of unchecked infestation is normally associated with individuals that have compromised immune systems. AIDS patients, the elderly, those receiving chemotherapy treatments or individuals suffering from collateral infections are the most susceptible to this form of scabies. Whereas a person suffering from a standard scabies infection is hosting a few dozen to a few hundred mites; a person suffering from crusted scabies is hosting tens to hundreds of thousands of mites.

The expansive nature of a crusted scabies infection can result in an unsightly appearance on the skin appearing similar to psoriasis. The affected areas can develop a thick scab-like appearance which can become easily lacerated during scratching. The lesions created during scratching can expose the infected person to a high risk for secondary infections including exposure to dangerous staphylococcus bacteria.
Due to the aggressiveness of crusted scabies, the treatment for the condition not only follows that of standard scabies, using topical applications of medicated creams, but also incorporates the taking of oral anti-parasitic pills. The most common is Ivermectin.

If you are in a high risk group for crusted scabies, special preventative care should be taken to prevent infection. Make certain that bed linen is washed thoroughly and frequently. The same should be done for clothing. For people in close proximity to a person suffering from crusted scabies, care should be taken by washing your hands thoroughly after handling the infected person. In the event than an otherwise healthy person were to contract scabies from a person infected with crusted scabies, the resulting infection would likely be contained as standard scabies and not develop into crusted scabies.

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