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Images in paediatrics
Periungual scabies in infants: a tough reservoir of mites presenting with lamellar desquamation
  1. Andrea Sechi,
  2. Marco Adriano Chessa,
  3. Annalisa Patrizi,
  4. Francesco Savoia,
  5. Iria Neri
  1. Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
  1. Correspondence to Dr Marco Adriano Chessa, Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna 40126, Italy; marcoadriano.chessa{at}

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A 6-month-old infant and her family presented with a 5-month relapsing scabies at a post-therapy visit. Topical 5% permethrin treatment was administered to all members, and repeated five times at a once every week regimen.

The examination was negative for active skin burrows, though an elongated, scaling lesion around the infant’s second right fingernail lateral folds and an analogous lesion on the elder brother’s hallux nail folds were detected. Dermoscopy showed intact burrows and subsequent scraping confirmed the presence of Sarcoptes mites (figure 1). Topical treatment with 5% permethrin under occlusion led to the definitive resolution of the scabies. …

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  • Contributors AS had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. IN: Study concept and design. FS: acquisition, analysis and interpretation of data. AS: drafting of the manuscript. MAC: critical revision of the manuscript for important intellectual content. MAC: administrative, technical or material support: AP: study supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.