Diagnosis of Scabies should be considered in patients with pruritus with nocturnal exacerbation and symmetric polymorphic skin lesions in characteristics location. Particularly if there is a history of scabies in close contacts.
Burrows should be sought and unroofed with sterile needle or scalpel blade, and the scraping should be examined under microscope for the mite, its eggs or its fecal pellets.
