Classic scabies presents as papulovesicular lesions. The distribution varies, favouring the wrists, interdigital web spaces, elbows, axillae, breasts and genitals. Predominantly night-time pruritus is usually present. Excoriation may lead to bacterial superinfection including impetigo, cellulitis and, in some cases, fatal sepsis. (98) In PLWHIV, both the classic form and generalised, crusted (Norwegian) scabies can occur. The classic form can occur at any CD4 cell count, while crusted scabies is usually seen in patients with a CD4 cell count below 200 cells/μL. (99)