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Skabies Dermoskopi Pedriatric
Skabies Dermoskopi Pedriatric
Skabies Dermoskopi Pedriatric
157]
Original Article
children aged between 1 and 15 years with • The classical sites of involvement Website: www.ijpd.in
of scabies, visible burrows, scabetic
DOI: 10.4103/ijpd.IJPD_25_18
nodules, or family history of scabies
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distributed under the terms of the Creative Commons
Attribution‑NonCommercial‑ShareAlike 4.0 License, which
allows others to remix, tweak, and build upon the work
non‑commercially, as long as appropriate credit is given and the How to cite this article: Srinivas S, Herakal KC,
new creations are licensed under the identical terms. Murthy SK, Suryanarayan S. Dermoscopic study
of scabies in children. Indian J Paediatr Dermatol
For reprints contact: reprints@medknow.com 2019;20:46-51.
Figure 7: Dermoscopy of the flexural aspect of wrist of a 10-year-old girl. Figure 8: Dermoscopy of the Flexural aspect of wrist of a 10yr- yr- old girl.
Polarized light mode used. 40x magnification. Arrow showing burrow Polarised light mode was used. 10x magnification. Arrow showing burrow
Figure 9: Dermoscopy showing a burrow in the web spaces of a 10-year-old Figure 10: Dermoscopy showing a burrow in the web spaces of a 10-year-old boy,
boy. Polarized light mode used. Arrow showing burrow with mite magnified image. Polarized light mode used. Arrow showing burrow with mite
examination (17), P = 0.42 was obtained [Table 7]. Thus, Table 7: Comparison of clinical examination and
this P = 0.03 was significant, and the P = 0.42 was not dermoscopic findings
statistically significant. Clinical Dermoscopic P
Among the seven sites dermoscopically examined, the examination examination
web spaces and axillae were the most common sites Total 37 45 0.03
Males 22 28 0.03
in which the mite could be visualized. Dermoscopy of
the web spaces of a 2‑year‑old boy [Figures 3 and 4]. Females 15 17 0.42
Clinical examination of the 2‑year‑old boy showing
erythematous papules on the dorsum and web spaces of the Table 8: Most common sites of positive dermoscopic
hands [Figures 5 and 6]. In the 45 children diagnosed with findings: Web spaces
scabies using a dermoscope, 38 children had web space Sex Age (years) Total
involvement, 32 had axillae involvement. Twenty‑seven 1‑5 5‑10 10‑15
and 25 children had flexural aspect of wrists and elbows Males 3 14 4 21
involvement, respectively. Twenty three, 25 and 13 Females 3 10 4 17
children had umbilicus, genitalia and buttocks involvement, Total 38
respectively [Tables 8‑14]. Dermoscopy of the flexural
aspects of the wrists of a 10‑year‑old girl in polarized light
showing burrow [Figures 7 and 8]. Dermoscopy of the web
Discussion
spaces of a 10‑year‑old boy in polarized light showing The female mite is around 0.2–0.4 mm long and burrows
burrow [Figures 9 and 10]. into the stratum corneum to lay its eggs. Burrows are often
Indian Journal of Paediatric Dermatology | Volume 20 | Issue 1 | January-March 2019 49
[Downloaded free from http://www.ijpd.in on Wednesday, March 11, 2020, IP: 36.68.52.157]
even in unexperienced hands.[15] It can also help to make Financial support and sponsorship
treatment decisions. High cost of the dermoscope is a
Nil.
disadvantage. Dermoscopy has been found to be useful for
the diagnosis of Incognito scabies.[16] To avoid an invasive Conflicts of interest
test‑like skin scrapings, even adhesive tape test to diagnose
scabies has been done in resource poor settings.[17] There are no conflicts of interest.