Abstract
Scabies is a highly contagious skin condition caused by an infestation of the mite Sarcoptes scabiei. The mites burrow into the upper layers of the skin and lay their eggs, causing intense itching and characteristic linear burrows. There are several atypical clinical variants of scabies, including bullous, crusted, hidden, incognito, nodular, and scalp scabies. Bullous scabies is an uncommon variant, characterized by the formation of large, fluid-filled blisters (bullae) on the skin. Crusted scabies, also known as Norwegian scabies, is a severe and highly contagious form of scabies characterized by thick, crusted lesions on the skin. In this case report, we present a rare case of a 69-year-old man with concomitant bullous and crusted scabies. The patient was treated with a whole-body application of benzyl benzoate lotion and two doses (12mg) of oral ivermectin, two weeks apart, and the skin lesions disappeared 20 days later. This case highlights the importance of considering scabies as a differential diagnosis in patients presenting with bullous lesions and the need for careful examination and investigation to distinguish between bullous scabies and bullous pemphigoid.
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