Case
genital and finger spaces , itching
Pathology
Parasitic infection by sarcobtes , scabie var hominis
Burrows tunnel in stratum Corneum
Transmission
Physical contacts
Lesion
Intense pruritic , worse at night
Erythematous papules in finger web spaces
Scabies incognito = widespread atypical form resulting from application of topical corticosteroids
Differential diagnosis
1)Contact dermatitis
2)Dermatitis herpetiformis
3)Syphilis
4)Folliculitis
Dx
1)Clinical exam
2)Burrows Scraping
Treatment
1)Topical permethrin
2)Sometimes oral ivermectin