RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57679169
T1 Chapter 143. Scabies
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57679169
RD 2024/04/19
AB A  2-year-old  boy  is  seen  with  severe  itching  and  crusting  of  his  hands  (Figures  143-1  and  143-2).  He  also  has  a  pruritic  rash  over  the  rest  of  his  body.  The  child  has  had  this  problem  since  2  months  of  age  and  has  had  a  number  of  treatments  for  scabies.  Other  adults  and  children  in  the  house  have  itching  and  rash.  Various  attempts  at  treatment  have  only  included  topical  preparations.  A  scraping  was  done  and  scabies  mites  and  scybala  (feces)  were  seen  (Figures  143-3  and  143-4).  The  child  and  all  the  family  members  were  put  on  ivermectin  simultaneously  and  the  Norwegian  scabies  cleared  from  the  child.  The  family  cleared  as  well  and  the  child  was  given  a  repeat  dose  of  ivermectin  to  avoid  relapse.