Norwegian crusted scabies is a severe, highly contagious form of scabies caused by Sarcoptes scabiei infestation, characterized by thick, hyperkeratotic crusts that contain millions of mites. It most commonly occurs in immunocompromised individuals, the elderly, or patients with neurologic conditions that reduce the sensation of itching. Unlike classic scabies, pruritus may be minimal or absent despite extensive involvement. Lesions typically affect the hands, feet, scalp, and nails and can lead
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