A contagious parasitic infection of the skin caused by the mite Sarcoptes scabiei, var. hominis
Typically, a clinical diagnosis based on history and physical exam
System(s) affected: s...
Generalized itching is often severe and worse at night.
Identify potential contact with infected individuals.
Initial/primary infection usually asymptomatic for the first 3 to 4 weeks (...
Treat all intimate contacts (including close household and family members).
Treat items in contact with skin. Wash all clothing, bed linens, and towels in hot (60° C) water an...
B86 Scabies
128870005 Crusted scabies
128869009 Infestation by Sarcoptes scabiei var hominis
128873007 Post-scabetic nodules
44065001 Infestation by Sarcoptes scabiei var canis
20444004 In...
Prior to diagnosis, use of a topical steroid to treat pruritic symptoms may mask symptoms and is termed scabies incognito.
Eczema and itching may persist for up to 4 weeks after treatme...
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Scabies - paules and papulovesicles of wrist and hand
Insect Bites Intensely pruritic, red, distinct papules characterize these lesions.
FIGURE 99.27. Mite that causes scabies (<italic>Sarcoptes scabiei</bold>).
FIG. 6.13. Scabies typically involves the web spaces between the fingers and/or the toes.
FIG. 6.14. The rash of scabies may be more diffuse in infants, spreading to the trunk (A) and scalp (B) in addition to the extremities (C).
FIG. 6.14. The rash of scabies may be more diffuse in infants, spreading to the trunk (A) and scalp (B) in addition to the extremities (C)...
Primary Skin Lesions Insect bites.
Pthirius pubis, the crab louse. Etiologic agent Pediculosis pubis.
Scabies. A fertilized female mite is visible.
<bold>Figure 6-5</bold> Pediculosis capitis. Note the whitish nits found along the hair shafts. (Courtesy of Hans B. Kersten, MD.)
<bold>Figure 6-5</bold> Pediculosis capitis. Note the whitish nits found along the hair shafts. (Courtesy of Hans B. Kersten, ...
Bulla. Bullous insect bite reaction.
Common lice of humans: (A) head louse (Pediculus humanus capitis), (B) body louse (Pediculus humanus humanus), (C) pubic louse (Pthirus pubis).
Common lice of humans: (A) head louse (Pediculus humanus capitis), (B) body louse (Pediculus humanus humanus), (C) pubic louse (Pthirus pu...
Mosquito bites: arm, infant
pediculosis capitis (head lice)
Bug bites: abdomen, "breakfast, lunch, and dinner"
Scabies. Note the lesions in the axilla of a child.
Courtesy of George A. Datto, III, MD.
Microscopy of a skin scraping often demonstrates the presence of mites in patients with scabies.
From Fleisher GR, MD, Ludwig S, MD, Baskin MN, MD. Atlas of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2004.
From Fleisher GR, MD, Ludwig S, MD, Baski...
Scabies. This close-up view shows a burrow (arrow) on the palm. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Scabies. This close-up view shows a burrow (arrow) on the palm. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnos...
Scabies. Finger web and groin lesions are noted. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Scabies. Finger web and groin lesions are noted. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Manageme...
Scabies. Characteristic pruritic papules are present on this patient's penis. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Scabies. Characteristic pruritic papules are present on this patient's penis. From Goodheart HP. Goodheart's Photoguide to Common Skin Diso...
Norwegian scabies. This child with Down's syndrome has verrucous plaques on his hands and thickened dystrophic nails. The lesions are teeming with scabies mites. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Norwegian scabies. This child with Down's syndrome has verrucous plaques on his hands and thickened dystrophic nails. The lesions are teemi...
Scabies. Scraping for scabies is performed. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Scabies. Scraping for scabies is performed. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3...
Bug bites - pruritic urticarial wheels with punctum