To the Editor.—
In a letter in the April issue of the Archives (114:627, 1978), Alexander made the observation that in a practice, consisting of predominantly black patients, the diagnosis of scabies was more common in whites. Of 37 patients, 31 were white, one was black, and the remainder were other racial groups. His practice was 48% black and 36% white. In 1972, 1973, and 1975, all diagnoses made at the dermatology clinics of four US Army medical centers (Walter Reed, Washington, DC; Fitzsimons, Denver; Letterman, San Francisco; and Brooke, San Antonio, Tex) were recorded. The cumulative statistics on scabies for all three years and all four hospitals form the basis for this communication. Only those patients in whom the initial complaint was diagnosed as scabies were counted in the tabulation. Only first-visit statistics were utilized for total statistics, so that follow-up visits for the same problem were not recounted
Rietschel RL, Lewis CW, Jones HE, Akers WA, Greenberg J. Scabies and Role of Race. Arch Dermatol. 1979;115(1):109–110. doi:10.1001/archderm.1979.04010010075036
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