An Itch That’s More Than Skin Deep

A 71-year-old man with cirrhosis on glucocorticoids develops a severe, diffuse, itchy rash. Explore the Differential Diagnosis for this challenging presentation.

Crusted scabies


A 71-year-old man with cirrhosis presented to the ED with severe diffuse pruritus 3 months after being treated with oral and topical glucocorticoids for an erythematous, scaly rash. Physical exam revealed this rash on the patient’s neck, hands, and genital area. What is the most likely diagnosis?

What is the most likely diagnosis?

Crusted scabies
Psoriasis
Seborrheic dermatitis
Tinea corporis
Candidiasis

Crusted scabies, Dermatology, Immunosuppression, Ivermectin, Pruritus

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