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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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