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Scabies involving palms in older children and adults: a changing scenario
Author(s) -
Koley Sankha,
Datta Jayanti,
S. K. Shahriar Ahmed,
Tarafdar Dhiman
Publication year - 2021
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.15383
Subject(s) - scabies , medicine , palm , buttocks , sarcoptes scabiei , rash , dermatology , infestation , overcrowding , pediatrics , surgery , biology , physics , botany , quantum mechanics , economics , economic growth
Scabies is a highly contagious, intensely pruritic skin infestation caused by Sarcoptes scabiei var hominis . It has high prevalence in many tropical countries where crowded people live in resource‐poor settings. The rash is distributed differently in adults and children. Adults manifest lesions primarily on the interdigital web spaces of the hands, flexor aspects of the wrists, dorsal feet, axillae, elbows, waist, buttocks, and genitalia. Palms (along with soles and head) are commonly involved in infants and very young children but typically absent in older age groups. Here, we report 25 older children and adult patients with scabies including involvement of the palms. If patients are left untreated for long periods of time in hot tropical climates, scabies may produce severe infestation with involvement of palms in older children and adults. We should acknowledge palms as potential body sites whose involvement warrants early and aggressive treatment in scabies.