Learning points from the Case of peripheral neuropathy

Active learning points from the discussion on the following case:

Details of the patient are given below:

My analysis for the above patient is given in the link below:

29/05/20, 8:48:46 PM] Student1: What is the reason for norwegian scabies in this case? And since he tested negative for all.

[29/05/20, 8:50:27 PM] Post Residency PG1: What is the difference between ordinary scabies and Norwegian and which one did he have?

[29/05/20, 8:51:08 PM] Student2: He had Norwegian scabies sir. It's more likely as he didn't feel any itching sensation

[29/05/20, 8:51:46 PM] Student2: Which is characteristic in Norwegian.

And it's also more likely to pict in immunosupressed persons

[29/05/20, 8:51:59 PM] Student2: Which he is, due to his regular alcohol consumption

[29/05/20, 8:54:27 PM] PG1: The patient had itching previously but then he got permithrin application done before he has come to our hospital .

May be he scabies got healed partly and he had no itching.

[29/05/20, 8:59:52 PM] Student1: Yeah that could be possible

[29/05/20, 9:00:25 PM] Post Residency PG1: Can you share some literature links and quote the relevant portion?

[29/05/20, 9:00:26 PM] Student1: Okay. So since how long did he have scabies?

[29/05/20, 9:06:01 PM] Post Residency PG1: 👍Better to share the link and quote the text

"Crusted scabies almost always affects people with a compromised immune system"

"Interestingly, itching maybe absent or minimal in this form of scabies.

[29/05/20, 9:41:18 PM] Post Residency PG1: 👍

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