Skip to main content
. 2021 Mar 11;10:28. doi: 10.12703/r/10-28

Table 2. Clinical grading scale to guide the management of crusted scabies31.

A: Distribution and extent of crusting
    1.  Wrists, web spaces, feet only (<10% total body surface area [TBSA])
    2.  Above plus forearms, lower legs, buttocks, trunk, or 10–30% TBSA
    3.  Above plus scalp or >30% TBSA
B: Crusting/Shedding
    1.  Mild crusting (<5 mm depth of crust), minimal skin shedding
    2.  Moderate 5–10 mm crusting, moderate skin shedding
    3.  Severe >10 mm profuse skin shedding
C: Past Episodes
    1.  Never had it before
    2.  1–3 prior hospitalisations for crusted scabies or depigmentation of elbows/knees
    3.  >4 hospitalisations for the above plus legs/back or skin thickening
D: Skin Condition
    1.  No cracking or pyoderma
    2.  Multiple pustules and/or weeping sores and/or skin cracking
    3.  Deep skin cracking with bleeding, widespread purulent exudates
Grade 1: score 4–6
Grade 2: score 7–9
Grade 3: score 10–12
3 doses of ivermectin 200 μg/kg – day 0, 1, 7
5 doses – day 0, 1, 7, 8, 14
7 doses – day 0, 1, 7, 8, 14, 21, 28
All patients also treated with benzyl benzoate alternating with keratolytic cream

This table was adapted from Davis JS et al.31 under the terms of the Creative Commons Attribution 4.0 license (CC-BY 4.0).