Today's scabies

M. Orkin

In the past several years there has been a noticeable increase of scabies in the United States; the magnitude of this is not known. An expanding epidemic continues in most parts of the world. Scabies is frequently seen in many guises that may be difficult to diagnose: scabies in the clean, scabies incognito, nodular scabies, animal-transmitted scabies, scabies in infants, scabies with syphillis, and Norwegian scabies. If the diagnosis cannot be confirmed by identifying the mite, synthesis of suggestive features may establish the diagnosis. Recently adopted children from foreign countries, especially southeastern Asia, have had a high frequency of scabies, which may appear after the children arrive in the United States. Acute glomerulonephritis may develop in patients whose scabetic lesions are complicated by a Virulent nephritogenic streptococcal strain.