HIV Management Guide for Clinical Care

HIV Management Guide for Clinical Care

HIV-infectious Disease & Cancer

Management > HIV-infectious Disease & Cancer > Dermatological Conditions > Parasitic infections > Clinical presentation

Clinical presentation

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 

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