Cyclical epidemics may occur in institutions. This form of scabies is common in Aboriginal communities in remote and rural Queensland. These are itchy and if scratched may appear as indurated ulcers. These patients can present a considerable management problem as they usually resist any suggestion that their symptoms may be psychogenic and refuse psychiatric help. TOP OF PAGE Diagnosis Diagnosis is usually made clinically.
Differential diagnosis includes eczema.
Definitive diagnosis is made by microscopic identification of mites or their eggs from skin scrapings at site of burrows. Compliance can be further improved by providing clear written information. Although instructions usually recommend applying the treatment from the neck down, Chosidow recommends the face and scalp be included in treatment. Safe for use in pregnancy and breast feeding. It is not currently available for this use in Australia.