Scabies involving palms in older children and adults: a changing scenario

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 prim...

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Bibliographic Details
Published in:International journal of dermatology 2021-05, Vol.60 (5), p.605-610
Main Authors: Koley, Sankha, Datta, Jayanti, S. K., Shahriar Ahmed, Tarafdar, Dhiman
Format: Article
Language:English
Subjects:
Adults
Children
Climate
Infants
Infestation
Parasitic diseases
Scabies
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Summary: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.
ISSN:0011-9059
1365-4632
DOI:10.1111/ijd.15383