Severe nail dystrophy due to Norwegian scabies in a pediatric patient living with Human Immunodeficiency Virus (HIV): A case report

Abstract

Background: Norwegian scabies is a rare presentation of scabies that can involve the nails. Severe nail dystrophy is an unusual  presentation in neglected persons living with HIV.
Case report: We present a case of Norwegian scabies in a pediatric patient living with HIV. The patient presented with generalized  crusted and thickened skin lesions. The nails were elongated dystrophic with subungual hyperkeratosis. This was treated successfully with urea cream, ivermectin tablets and benzyl benzoate emulsion.
Conclusion: Severe nail dystrophy is a rare presentation of Norwegian scabies in neglected patients. This can be treated adequately with  topical urea and scabicides