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June 1979

Scabies in Blacks

Author Affiliations

Helsingborg, Sweden

Arch Dermatol. 1979;115(6):675. doi:10.1001/archderm.1979.04010060001002

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To the Editor.—  In the August Archives, Dr A. Paul Kelly reports that he has never, in his clinic with an attendance of more than 60% blacks, seen a single documented case of scabies in his black patients (114:1245, 1978). He requests information from all physicians with documented cases of scabies in black patients. To me, this request is astonishing. In my former skin clinic at Mulago Hospital in Uganda, several patients with scabies were seen every day. In 1972, our number of cases with scabies amounted to 777. As mentioned in my correspondence in the July Archives (114:1096, 1978) the mite was found in nearly all cases using the technique here described. The physicians and the paramedical staff were good "hunters." In black people, the mite is seen as a "white point" in the end of the burrows in contrast to a "dark point" in white people. The rash

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