ABSTRACT
This chapter presents the case study of a 20-year-old man. A 20-year-old man presents to his GP with an intensely pruritic eruption. He has come to the GP to ask for a sick note. One of his housemates has also recently become itchy and they had begun to suspect their student flat may have an infestation of some sort. There are multiple erythematous papules and excoriations over his limbs and trunk, which are particularly severe over his hands and on his genital area. There are few pruritic skin eruptions that keep patients awake at night and usually this is highly suggestive of a scabies infestation. The human mite Sarcoptes scabiei is passed from one individual to another, usually by direct skin contact but also through contact with fomites such as bedding and towels. The treatment should be left on overnight, washed off in the morning and repeated after 7 days as the treatment is not ovicidal.
