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November 11, 1974

Bullous Scabies

Author Affiliations

From the Department of Dermatology, Baylor College of Medicine, Houston.

JAMA. 1974;230(6):878. doi:10.1001/jama.1974.03240060048033

SCABIES is caused by the itch mite, Sarcoptes scabiei. The disease is very contagious and produces intractable itching that is most common at night. The disease affects infants and children as well as adults, with epidemics occurring at intervals of about 15 years. Several reports have emphasized the increase in the number of cases of scabies within the past few years.1-3 Orkin,3 in a comprehensive survey, showed that a progressive increase in scabies had occurred in many parts of the world, although at the time of his report the United States and Canada had been spared this increase. Now, however, scabies is seen frequently throughout the United States.

While scabies in the adult may be easily diagnosed, infants and children with scabies often present a challenging diagnostic problem. This communication describes a child who because of predominance of bullous lesions was thought to have had either pemphigus or