October 1980

Neonatal Scabies-Reply

Author Affiliations

Department of Pediatrics Ireland Army Hospital Fort Knox, KY 40121

Am J Dis Child. 1980;134(10):1003-1004. doi:10.1001/archpedi.1980.02130220079040

In Reply.—Drs Dolezal and Plamondon bring out several aspects of scabies that were mentioned only briefly in our publication due to the limited scope of the article. A unique feature of the current pandemic is that classic scabies is seldom seen and less typical varieties such as minimal scabies in the unsoiled patient are predominating.1-3 Only 7% of more than 1,000 patients studied in Goa, India from 1969 to 1970 were found to have burrows.4 In the study of Hejazi and Mehregan,5 burrows were absent in over 70% of patients. No burrows were present in any of the neonates described in our study (nor in 11 additional neonates examined since). In only four of the contacts of these 16 infants was there even a suggestion of a burrow.

Whether one states that mite survival time is a few hours or one to two days is a