Turkish Journal of
GERIATRICS

¹Düzce Atatürk Devlet Hastanesi, Dermatoloji DÃœZCE
²Düzce Ãœniversitesi Tıp Fakültesi, Dermatoloji Anabilim Dalı DÃœZCE
³Düzce Ãœniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları Anabilim Dalı DÃœZCE Norwegian scabies is a highly contagious skin infestation caused by the ectoparasite Sarcoptes scabiei, which mainly affects immunosupressed and geriatric individuals. Clinically, it may simulate various dermatoses. We report herein a 70 year old man with diabetes mellitus who developed palmoplantar hyperkeratosis, with widespread excoriation over the trunk and extremities. His complaints had been present for about ten years. The lesions were crusted scabies with absence of itch sensation due to peripheral neuropathy and diabetes mellitus for 30 years. Microscopic examination of the skin scales with potassium hydroxide revealed numerous scabies mites and eggs. Topical 5% permethrin cream therapy was prescribed as 2 treatments, with each treatment applied once a week Keywords : Scabies; Diabetic Neuropathies; Keratoderma, Palmoplantar