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To the Editor.—
Scabies is a disease that I frequently see in the Dermatology Clinic at Martin Luther King, Jr, General Hospital, Los Angeles. Yet, in a clinic patient population that is over 60% black, I have never documented (with microscopic identification of a mite, mite parts, mite eggs, and/or mite feces) a case of scabies in a black patient. Conversations with many black dermatologists in the United States indicates that neither have they documented such cases.I, and others as well, have seen a few black patients with what clinically resembles scabies, and some of these patients have improved with antiscabetic therapy. However, all of the persons that I suspected of having scabies denied having family members or close associates with similar cutaneous problems. The majority of my white and Mexican American scabetic patients had at least one family member or close associate with similar skin problems.I am,
Kelly AP. Scabies in Blacks. Arch Dermatol. 1978;114(8):1245. doi:10.1001/archderm.1978.01640200093045