Scabies in Man

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Abstract
Adult mite with fecal pellet visible posteriorly (at right). as a thin (0.3 to 0.5 mm), grayish-white, elevated, serpiginous track 1 to 10 mm long. The remaining papular, vesicular, excoriated, and secondarily infected lesions are not specific. To confirm the diagnosis, place a drop of immersion oil on a #15 blade and scrape a burrow, preferably until fine specks of blood are noted. Place the specimen on a slide and examine under low power (4× objective). In the majority of cases (but not all), a mite, an ovum, or fecal pellets should be demonstrable. An adult mite and a fecal pellet can be seen in the Figure; an ovum is egg-shaped and approximately 20% to 25% of the size of an adult mite. Lesions other than burrows are much less likely to be "positive." Treatment is simple and effective: apply 1% gamma benzene hexachloride (Kwell) cream or lotion from the

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