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Norwegian Scabies

Norwegian Scabies Abstract Norwegian scabies is a well-defined but infrequently reported entity. There are only 10 cases in the American literature. It was first described in Norway in 1848 and a few years later Hebra1 gave a full account of it in his textbook. Clinically, Norwegian scabies presents a bizarre picture, one quite unlike ordinary scabies. The sign eclipsing all others is crusted hyperkeratosis of the palms and soles, sometimes large enough to interfere with normal movements. Oozing is a disagreeable feature. Additionally, there are often enormously thickened nails due to massing of horny material under the nail plate. Elsewhere, and distributed with rough symmetry, there are less florid hyperkeratotic scaling lesions. Pachyonychia congenita and other constitutional anomalies of keratinization are strongly mimicked. Submerged in this picture are the multiform excoriated banal lesions of ordinary scabies concentrated in the usual sites. Itching, however, is generally not so prominent. Frequently, almost pathognomonically, the References 1. For a discussion of nomenclatural problems see Ref. 5, pp. 23-24. 2. Hebra, F.: On Diseases of the Skin Including the Exanthemata , Vol. 2 (English Trans.) London, The New Sydenham Society, 1868, pp. 213-216, 3. George, W. M.: Norwegian Scabies , A.M.A. Arch. Dermat. 78:320-324, 1958.Crossref 4. Calnan, C. D.: Crusted Scabies , Brit. J. Dermat. 62:71-78, 1950.Crossref 5. Wells, G. C.: Norwegian Scabies , Brit. M.J. 2:18-20, 1952.Crossref 6. Heilesen, B.: Studies on Acarus Scabiei and Scabies , Acta dermat.-venereol. ( (Supp. 14) ) 26:1-370, 1946. 7. Mellanby, K.: Scabies , London, Oxford University Press, 1943. 8. Hessler, R.: An Extreme Case of Parasitism , Science 21:125, 1893 (A second-hand report of the first case of Norwegian scabies in the U.S.). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1960.01580010068010
Publisher site
See Article on Publisher Site

Abstract

Abstract Norwegian scabies is a well-defined but infrequently reported entity. There are only 10 cases in the American literature. It was first described in Norway in 1848 and a few years later Hebra1 gave a full account of it in his textbook. Clinically, Norwegian scabies presents a bizarre picture, one quite unlike ordinary scabies. The sign eclipsing all others is crusted hyperkeratosis of the palms and soles, sometimes large enough to interfere with normal movements. Oozing is a disagreeable feature. Additionally, there are often enormously thickened nails due to massing of horny material under the nail plate. Elsewhere, and distributed with rough symmetry, there are less florid hyperkeratotic scaling lesions. Pachyonychia congenita and other constitutional anomalies of keratinization are strongly mimicked. Submerged in this picture are the multiform excoriated banal lesions of ordinary scabies concentrated in the usual sites. Itching, however, is generally not so prominent. Frequently, almost pathognomonically, the References 1. For a discussion of nomenclatural problems see Ref. 5, pp. 23-24. 2. Hebra, F.: On Diseases of the Skin Including the Exanthemata , Vol. 2 (English Trans.) London, The New Sydenham Society, 1868, pp. 213-216, 3. George, W. M.: Norwegian Scabies , A.M.A. Arch. Dermat. 78:320-324, 1958.Crossref 4. Calnan, C. D.: Crusted Scabies , Brit. J. Dermat. 62:71-78, 1950.Crossref 5. Wells, G. C.: Norwegian Scabies , Brit. M.J. 2:18-20, 1952.Crossref 6. Heilesen, B.: Studies on Acarus Scabiei and Scabies , Acta dermat.-venereol. ( (Supp. 14) ) 26:1-370, 1946. 7. Mellanby, K.: Scabies , London, Oxford University Press, 1943. 8. Hessler, R.: An Extreme Case of Parasitism , Science 21:125, 1893 (A second-hand report of the first case of Norwegian scabies in the U.S.).

Journal

Archives of DermatologyAmerican Medical Association

Published: Jul 1, 1960

References