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Acta Derm Venereol 2021; 101: adv This is an open access article under the CC BY-NC license. www.medicaljournals.se/acta doi: 10.2340/00015555-3768 Society for Publication of Acta Dermato-Venereologica An 80-year-old woman presented with a 3-week history of diffuse pruritus with nocturnal worsening. She denied any comorbidities or drug use. Dermatological examination revealed erythematous-purple macules and excoriated lesions localized on her trunk, upper limbs, and genitals (Fig. 1). Similar symptoms and lesions were also present in close family members and the suspected diagnosis was scabies. Dermoscopy was negative for scabies, but during the examination a small red-black coloured mite (< 1 mm) was observed moving on the patient’s back skin (Video 11). Dermoscopy of the mite is shown in Fig. 2.

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