Intended for healthcare professionals


Scales, fissures, and haemorrhagic crusts on the palms

BMJ 2021; 375 doi: (Published 08 December 2021) Cite this as: BMJ 2021;375:e067494
  1. Fan Xu, dermatology resident,
  2. Xiao-Yong Man, professor and chief physician
  1. Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
  1. Correspondence to: X-Y Man manxy{at}

This is crusted scabies on the hands of a man in his 70s (fig 1). He initially presented with disseminated erythematous patches and pruritus and was treated for three weeks with topical glucocorticoids for presumed eczema. …

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