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).