Scabies and Pseudoscabies
Wingfield E. Rehmus
Department of Pediatrics, University of British Columbia and British Columbia's Children's Hospital, Vancouver, BC, Canada
Search for more papers by this authorJulie S. Prendiville
Pediatric Dermatology, Sidra Medicine, Doha, Qatar
Search for more papers by this authorWingfield E. Rehmus
Department of Pediatrics, University of British Columbia and British Columbia's Children's Hospital, Vancouver, BC, Canada
Search for more papers by this authorJulie S. Prendiville
Pediatric Dermatology, Sidra Medicine, Doha, Qatar
Search for more papers by this authorPeter Hoeger
Search for more papers by this authorVeronica Kinsler
Search for more papers by this authorAlbert Yan
Search for more papers by this authorJohn Harper
Search for more papers by this authorArnold Oranje
Search for more papers by this authorChristine Bodemer
Search for more papers by this authorMargarita Larralde
Search for more papers by this authorVibhu Mendiratta
Search for more papers by this authorDiana Purvis
Search for more papers by this authorSummary
Scabies is caused by infestation of the skin by Sarcoptes scabiei var. hominis. It affects all age groups and is a worldwide disease. Clinical features appear several weeks after exposure, and are associated with pruritus. Burrows, excoriations, vesicles, papules and nodules are seen on physical examination. Infested individuals are at risk of secondary bacterial infection. Diagnosis is often made clinically, but can be confirmed by performing a scabies preparation and/or dermoscopy. Topical therapy is the mainstay of treatment and should be utilized by all household and other contacts. For severe infestations, oral ivermectin is an alternative therapy.
The term pseudoscabies is used to describe a skin eruption caused by mites for which, unlike scabies, humans are not the normal host. Bird, rodent and dog mites are most commonly implicated in children. Pseudoscabies is characterized clinically by nonspecific pruritic papules on exposed skin. Diagnosis requires a high degree of clinical suspicion, as the offending mites are barely visible to the human eye. Treatment depends primarily upon the identification and removal (or treatment) of the source of contact.
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