07 July 2024
: Case report 
Crusted Scabies in a Pediatric Liver Transplant Recipient on Immunosuppression
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Unexpected drug reaction, Rare disease, Clinical situation which can not be reproduced for ethical reasons
Laura Shih Hui Goh
12ABCDEF, Sivaramakrishnan Venkatesh Karthik23ABCDEF, Nur Hafizah Mohamed Nor34ABCDEF, Dale Lincoln Ser Kheng Loh23ABCDEF, Vidyadhar Padmakar Mali 34ABCDEF*
DOI: 10.12659/AJCR.943128
Am J Case Rep 2024; 25:e943128
Table 2. Summary of recommended treatment for scabies.
| Age | Recommended treatment [6,7] |
|---|---|
| Adults and children >12 years | Permethrin cream 5%, Crotamiton lotion 10% or Sulphur ointments (5–10%) Combination of oral and topical agents. Topical Permethrin cream 5% (every 2–3 days for 1–2 weeks), and oral ivermectin (2 doses, 1 week apart 200 μg/kg/dose) taken in 3 doses Ivermectin is not recommended in children below age 5 years or who weigh <15 kg, due to the lack of evidence supporting its safe use |
| Infants above 2 months | Topical 5% permethrin cream (applied for 8–12 h once a week). Sulfur-containing preparations (10–25%) left for 24 h for 3 days |
| Infants below 2 months | Sulfur-containing preparations (2–10%) left for 24 h for 3 days. Topical 5% Permethrin cream is a less-preferred alternative |