Sir.—The article by Burns et al, "Neonatal Scabies" (Journal 133:1031-1034, 1979), is timely and achieves the stated goal of acquainting the reader with the observation that neonatal scabies has a different appearance than does scabies in older patients. However, some of their observations and statements are contrary to our experience.
The statement was made that the burrow of scabies is seldom seen in today's adult scabies and is rarer in infants and children. We have observed the burrow usually to be present in all ages, though often in altered form in infants. Examination of suspected scabietic patients must be meticulous. Adults may have as few as one or two burrows, which may be found in nondermatitic, nonpruritic areas. Burrows in children are often located on the palms, soles, and/or creases of the wrist. Casual inspection of the minute linear scale of a curved burrow may result in the
DOLEZAL JF, PLAMONDON JC. Neonatal Scabies. Am J Dis Child. 1980;134(10):1003. doi:10.1001/archpedi.1980.02130220079039