eMedicine Specialties > Dermatology > Parasitic Infections

Scabies: Multimedia

Author: Kelly M Cordoro, MD, Fellow and Clinical Instructor, Department of Pediatric Dermatology, University of California at San Francisco; Assistant Professor (On Educational Leave), Assistant Program Director for Resident Medical Education, Department of Dermatology, University of Virginia School of Medicine
Coauthor(s): Barbara B Wilson, MD, Edward P Cawley Associate Professor, Department of Dermatology, University of Virginia School of Medicine; C Lisa Kauffman, MD, FACP, Professor, Chief, Division of Dermatology, Departments of Medicine and Pathology, Georgetown University Medical Center
Contributor Information and Disclosures

Updated: Nov 12, 2008

Multimedia

Scabies mite scraped from a burrow (original magn...
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Media file 1: Scabies mite scraped from a burrow (original magnification, 400X).
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Scabies mite scraped from a burrow (original magn...

Scabies mite scraped from a burrow (original magnification, 400X).

A typical linear burrow on the flexor forearm. Co...
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Media file 2: A typical linear burrow on the flexor forearm. Courtesy of Kenneth E. Greer, MD.
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A typical linear burrow on the flexor forearm. Co...

A typical linear burrow on the flexor forearm. Courtesy of Kenneth E. Greer, MD.

A subtle linear burrow accompanied by erythematou...
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Media file 3: A subtle linear burrow accompanied by erythematous papules on the sole of the foot in a child with scabies. Courtesy of Kenneth E. Greer, MD.
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A subtle linear burrow accompanied by erythematou...

A subtle linear burrow accompanied by erythematous papules on the sole of the foot in a child with scabies. Courtesy of Kenneth E. Greer, MD.

Erythematous papules and papulovesicles on the fl...
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Media file 4: Erythematous papules and papulovesicles on the flexor wrist. Courtesy of Kenneth E. Greer, MD.
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Erythematous papules and papulovesicles on the fl...

Erythematous papules and papulovesicles on the flexor wrist. Courtesy of Kenneth E. Greer, MD.

Scabies on the penile shaft and glans. Courtesy o...
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Media file 5: Scabies on the penile shaft and glans. Courtesy of William D. James, MD.
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Scabies on the penile shaft and glans. Courtesy o...

Scabies on the penile shaft and glans. Courtesy of William D. James, MD.

Scabietic papules on the penile shaft and scrotum...
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Media file 6: Scabietic papules on the penile shaft and scrotum. Courtesy of Kenneth E. Greer, MD.
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Scabietic papules on the penile shaft and scrotum...

Scabietic papules on the penile shaft and scrotum. Courtesy of Kenneth E. Greer, MD.

Widespread eruption on the back of an infant with...
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Media file 7: Widespread eruption on the back of an infant with scabies. Courtesy of Kenneth E. Greer, MD.
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Widespread eruption on the back of an infant with...

Widespread eruption on the back of an infant with scabies. Courtesy of Kenneth E. Greer, MD.

Nodular scabies in an infant. Courtesy of Kenneth...
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Media file 8: Nodular scabies in an infant. Courtesy of Kenneth E. Greer, MD.
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Nodular scabies in an infant. Courtesy of Kenneth...

Nodular scabies in an infant. Courtesy of Kenneth E. Greer, MD.

Nodular scabies. Courtesy of Kenneth E. Greer, MD.
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Media file 9: Nodular scabies. Courtesy of Kenneth E. Greer, MD.
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Nodular scabies. Courtesy of Kenneth E. Greer, MD.

Nodular scabies. Courtesy of Kenneth E. Greer, MD.

Crusted scabies. Courtesy of William D. James, MD.
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Media file 10: Crusted scabies. Courtesy of William D. James, MD.
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Crusted scabies. Courtesy of William D. James, MD.

Crusted scabies. Courtesy of William D. James, MD.

Crusted scabies. Courtesy of Kenneth E. Greer, MD.
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Media file 11: Crusted scabies. Courtesy of Kenneth E. Greer, MD.
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Crusted scabies. Courtesy of Kenneth E. Greer, MD.

Crusted scabies. Courtesy of Kenneth E. Greer, MD.

Scabies preparation demonstrating a mite and ova....
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Media file 12: Scabies preparation demonstrating a mite and ova. Courtesy of William D. James, MD.
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Scabies preparation demonstrating a mite and ova....

Scabies preparation demonstrating a mite and ova. Courtesy of William D. James, MD.

Scabies. Erythematous vesicles and papules are pr...
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Media file 13: Scabies. Erythematous vesicles and papules are present on torso extremities, some with adjacent linear excoriations.
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Scabies. Erythematous vesicles and papules are pr...

Scabies. Erythematous vesicles and papules are present on torso extremities, some with adjacent linear excoriations.

In routine scabies, a single mite is seen. Eosino...
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Media file 14: In routine scabies, a single mite is seen. Eosinophilic spongiosis may be present (hematoxylin and eosin; original magnification, 400X).
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In routine scabies, a single mite is seen. Eosino...

In routine scabies, a single mite is seen. Eosinophilic spongiosis may be present (hematoxylin and eosin; original magnification, 400X).

Scabies mite in the stratum corneum. Courtesy of ...
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Media file 15: Scabies mite in the stratum corneum. Courtesy of William D. James, MD.
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Scabies mite in the stratum corneum. Courtesy of ...

Scabies mite in the stratum corneum. Courtesy of William D. James, MD.

In crusted scabies, sections show multiple mites ...
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Media file 16: In crusted scabies, sections show multiple mites (arrows) within the hyperkeratotic stratum corneum. The epidermis is spongiotic (hematoxylin and eosin; original magnification, 100X).
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In crusted scabies, sections show multiple mites ...

In crusted scabies, sections show multiple mites (arrows) within the hyperkeratotic stratum corneum. The epidermis is spongiotic (hematoxylin and eosin; original magnification, 100X).

Scabies. Courtesy of William D. James, MD.
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Media file 17: Scabies. Courtesy of William D. James, MD.
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Scabies. Courtesy of William D. James, MD.

Scabies. Courtesy of William D. James, MD.

Scabies in the interdigital web spaces. Courtesy ...
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Media file 18: Scabies in the interdigital web spaces. Courtesy of William D. James, MD.
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Scabies in the interdigital web spaces. Courtesy ...

Scabies in the interdigital web spaces. Courtesy of William D. James, MD.

Papulovesicles and nodules on the palm in a patie...
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Media file 19: Papulovesicles and nodules on the palm in a patient with scabies. Courtesy of Kenneth E. Greer, MD.
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Papulovesicles and nodules on the palm in a patie...

Papulovesicles and nodules on the palm in a patient with scabies. Courtesy of Kenneth E. Greer, MD.

More on Scabies

Overview: Scabies
Differential Diagnoses & Workup: Scabies
Treatment & Medication: Scabies
Follow-up: Scabies
Multimedia: Scabies
References
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References

  1. Haubrich WS. Medical Meanings: A Glossary of Word Origins. Philadelphia, Pa: American College of Physicians; 1997:200.

  2. Bezold G, Lange M, Schiener R, Palmedo G, Sander CA, Kerscher M, et al. Hidden scabies: diagnosis by polymerase chain reaction. Br J Dermatol. Mar 2001;144(3):614-8. [Medline].

  3. Johnston G, Sladden M. Scabies: diagnosis and treatment. BMJ. Sep 17 2005;331(7517):619-22. [Medline].

  4. Aubin F, Humbert P. Ivermectin for crusted (Norwegian) scabies. N Engl J Med. Mar 2 1995;332(9):612. [Medline].

  5. Huffam SE, Currie BJ. Ivermectin for Sarcoptes scabiei hyperinfestation. Int J Infect Dis. Jan-Mar 1998;2(3):152-4. [Medline].

  6. Elgart GW, Meinking TL. Ivermectin. Dermatol Clin. Apr 2003;21(2):277-82. [Medline].

  7. Brodell RT, Helms SE. Bedside testing: the diagnostic cornerstone of dermatology. Compr Ther. Mar 1997;23(3):211-7. [Medline].

  8. Burgess I. Sarcoptes scabiei and scabies. Adv Parasitol. 1994;33:235-92. [Medline].

  9. Burkhart CG, Burkhart CN, Burkhart KM. An epidemiologic and therapeutic reassessment of scabies. Cutis. Apr 2000;65(4):233-40. [Medline].

  10. Fitzpatrick TB, Austen KF, Wolff K, et al, eds. Dertmatology in General Medicine. 4th ed. New York, NY: McGraw-Hill; 1993:1812-3.

  11. Elgart ML. Scabies. Dermatol Clin. Apr 1990;8(2):253-63. [Medline].

  12. Fitzpatrick TB, Johnson RA, Wolff K. Inset Bites and Infestations. In: Fitzpatrick TJ, Johnson RA, Wolff K, Polano MK, Suurmond R, eds. Color Atlas and Synopsis of Clinical Dermatology. 3rd ed. New York, NY: McGraw-Hill; 1997:836-61.

  13. Guldbakke KK, Khachemoune A. Crusted scabies: a clinical review. J Drugs Dermatol. Mar 2006;5(3):221-7. [Medline].

  14. Karthikeyan K. Treatment of scabies: newer perspectives. Postgrad Med J. Jan 2005;81(951):7-11. [Medline].

  15. McCarthy JS, Kemp DJ, Walton SF, Currie BJ. Scabies: more than just an irritation. Postgrad Med J. Jul 2004;80(945):382-7. [Medline].

  16. Molinaro MJ, Schwartz RA, Janniger CK. Scabies. Cutis. Dec 1995;56(6):317-21. [Medline].

  17. Orkin M, Maibach HI. Scabies treatment: current considerations. Curr Probl Dermatol. 1996;24:151-6. [Medline].

  18. Paller AS. Scabies in infants and small children. Semin Dermatol. Mar 1993;12(1):3-8. [Medline].

  19. Schleicher SM, Stewart P. Scabies: the mite that roars. Emerg Med. 1997;6:54-8.

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Further Reading

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Keywords

human scabies, seven-year itch, 7-year itch, itch mites, pruritic eruption, Sarcoptes scabiei, S scabiei, Sarcoptes scabiei var hominis, S scabiei var hominis, skin infestation, skin mite, pruritic skin disease, pruritus, crusted scabies, Norwegian scabies, mite infestation

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Contributor Information and Disclosures

Author

Kelly M Cordoro, MD, Fellow and Clinical Instructor, Department of Pediatric Dermatology, University of California at San Francisco; Assistant Professor (On Educational Leave), Assistant Program Director for Resident Medical Education, Department of Dermatology, University of Virginia School of Medicine
Kelly M Cordoro, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Association of Professors of Dermatology, Dermatology Foundation, Medical Society of Virginia, National Psoriasis Foundation, Society for Pediatric Dermatology, and Women's Dermatologic Society
Disclosure: Nothing to disclose.

Coauthor(s)

Barbara B Wilson, MD, Edward P Cawley Associate Professor, Department of Dermatology, University of Virginia School of Medicine
Barbara B Wilson, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, Medical Society of Virginia, and Sigma Xi
Disclosure: Nothing to disclose.

C Lisa Kauffman, MD, FACP, Professor, Chief, Division of Dermatology, Departments of Medicine and Pathology, Georgetown University Medical Center
C Lisa Kauffman, MD, FACP is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Royal Society of Medicine, Society for Investigative Dermatology, and Women's Dermatologic Society
Disclosure: Nothing to disclose.

Medical Editor

Daniel J Hogan, MD, Clinical Professor of Internal Medicine (Dermatology), NOVA Southeastern University; Investigator, Hill Top Research, Florida Research Center
Daniel J Hogan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Contact Dermatitis Society, and Canadian Dermatology Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Richard P Vinson, MD, Assistant Clinical Professor, Department of Dermatology, Texas Tech University School of Medicine; Consulting Staff, Mountain View Dermatology, PA
Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Association of Military Dermatologists, Texas Dermatological Society, and Texas Medical Association
Disclosure: Nothing to disclose.

Managing Editor

Paul Krusinski, MD, Director of Dermatology, Professor, Department of Internal Medicine, Fletcher Allen Health Care, University of Vermont
Paul Krusinski, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, and Society for Investigative Dermatology
Disclosure: Nothing to disclose.

CME Editor

Joel M Gelfand, MD, MSCE, Medical Director, Clinical Studies Unit, Assistant Professor, Department of Dermatology, Associate Scholar, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania
Joel M Gelfand, MD, MSCE is a member of the following medical societies: Society for Investigative Dermatology
Disclosure: AMGEN Consulting fee Consulting; AMGEN Grant/research funds None; Genentech Consulting fee Consulting; Centocor Consulting fee Consulting; Centocor Grant/research funds None; Covance Consulting fee Consulting; Shire  Consulting

Chief Editor

William D James, MD, Paul R Gross Professor of Dermatology, University of Pennsylvania School of Medicine; Vice-Chair, Program Director, Department of Dermatology, University of Pennsylvania Health System
William D James, MD is a member of the following medical societies: American Academy of Dermatology and Society for Investigative Dermatology
Disclosure: elsevier Royalty Other; american college of physicians Honoraria Other

 
 
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