ABSTRACT

Clinical aspect: It is characterized by stubborn itching, which is particularly intense at night, scratch marks and the presence of pathognomonic intraepidermal burrows (cunicula) created by the moving female mite, which appear as serpiginous, grayish, thread-like superficial elevations that are from 2 to 10 mm long. Common sites of infestation include flexor aspects of the wrists, interdigital web spaces of the hands, dorsal feet, axillae, elbows, waist, buttocks, and genitalia. Clinical findings also include small papules, vesicles, and reddish nodules, which correspond to lesions healing with development of an inflammatory granulomatous reaction and are especially common on the male genitalia (nodular scabies) (Figure 13.1.1). Intensely pruritic erythematous scattered papules: scabies. https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429160967/163b7f5e-cc4b-49c3-bdf2-114d4fa08aec/content/fig13_1_1.jpg" xmlns:xlink="https://www.w3.org/1999/xlink"/>