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To the Editor.—
In our office, we are seeing many cases of scabies in wellwashed persons. We would like to warn our colleagues to be on the alert for this disease that does not fit the classic text book picture.The lesions appear as discrete papules surmounted by a tiny vesicle and they may be very few in number and very itchy. The distribution may be restricted just to the chest or to one flank. There may be associated nummular eczematoid patches where the patient has scratched.If mineral oil is placed on several of the lesions and the lesions are scraped gently with a scalpel, one will see on microscopical examination an oval mass with legs sticking out.Scabies respects no one. We have seen it in teachers, production managers, and in children who bathe daily as well as in one lady who picked it up the day she
Levenson I. Scabies. Arch Dermatol. 1974;110(3):463. doi:10.1001/archderm.1974.01630090089027