A 1-year-old boy is brought for a second opinion about the recurrent pruritic vesicles and pustules on his hands and feet. This is the third episode, and in both previous episodes, the physicians thought the child had scabies. The child was treated with permethrin both times and within 2 to 3 weeks the skin cleared. No other family members have had lesions or symptoms. Figures 110-1, 110-2, 110-3 demonstrate a typical case of infantile acropustulosis that is often misdiagnosed as scabies. Although the condition can be recurrent, it is ultimately self-limited and will resolve.