Clinical Manifestations (Signs and Symptoms)

  • Severe pruritus (itching) that gets exacerbated at night.
  • Presence of burrows is a sign of Scabies. Burrows are greyish and irregular, scaly lesions usually of about 3 to 15 millimeters (mm) long, generally on the intradigital spaces, but can also be seen on the flexures of the wrists, and elbows, axillary folds and genitalia.
  • Small erythematous papules, escoriated papules and papulo-vesicles are often occupied by eczematous plaques, pustules or nodules, are Symmetrically distributed in the web spaces, wrists,anterior axillary folds, nipple and areola in women, periumbilical region, genitalia especially in the male, anterior  thigh, buttocks. 
  • Erythematous follicular papules over anterior thigh are common in adults.
  • The lesions may be infected with bacteria and folliculites, oozing and crusting are very commonly seen as localized or extensive infective eczema .
 
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