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 two 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, greysh-brown, nail plate, surrounded by scales, was observed. Both patients were successfully treated with permethrin and ivermectin. Discussion: A possible explanation about the fact that scabies remained limited to only one toenail is suggested.
Journal Section:
Novel Insights from Clinical Practice
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S. Karger AG, Basel
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2025
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