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Two Cases of Scabies Located Exclusively on a Toenail: A Case Report. | LitMetric

Two Cases of Scabies Located Exclusively on a Toenail: A Case Report.

Skin Appendage Disord

Istituto Dermatologico San Gallicano, IRCCS-IFO, Rome, Italy.

Published: March 2025


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Article Abstract

Introduction: Nail involvement in patients with crusted scabies is well known. It is characterized clinically by subungual hyperkeratosis and onycholysis. "Classical" scabies involving the nails was rarely reported.

Case Presentations: We describe 2 patients with classical scabies located exclusively on a toenail. In the first patient, the complete disappearance of the nail plate was observed. In the second patient, a thick, greyish-brown nail plate, surrounded by scales, was observed. Both patients were successfully treated with permethrin and ivermectin.

Conclusion: A possible explanation about the fact that scabies remained limited to only one toenail is suggested.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052362PMC
http://dx.doi.org/10.1159/000545326DOI Listing

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