Home | Recent Submissions | Search | Diagnosis | Quiz | Submit an Image | Index | Blog |About GSA
  
<< Back to Diagnosis Page  
Image Number 776 (Scabies)

 
Morphology:
Excoriation

Diagnosis: Scabies

Site: Breast

Sex: F

Age: 82

Type: Clinical

Description: Multiple burrows seen under the dermatoscope

Submitted by: Ian McColl

View Full Size

Differential Diagnosis

History: This elderly lady has been treated once already for scabies but it has recurred. She shows typical burrows on the sides of her fingers and multiple burrows and excoriations around the areolae and nipple. These are well shown under the dermatoscope where the mite is the dark tip of the burrow. This lady was treated with oral Ivermectin with a single dose and given topical permethrin cream all over on two further occassions. Her family were also treated topically. Itch can persist in treated scabies for days or weeks. This can be due to persistent mite hypersensitivity or induced eczema. It should be treated with a weak topical corticosteroid cream and not further antiscabetic therapy which paradoxically may just make things worse.

Search DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Scabies"

buy accutane
Home  |  Recent Submissions  |  Search  | Diagnosis  |  Quiz  |  Submit an Image  |  Index  |  About GSA

Copyright © 2005 Global Skin Atlas