Will disappear without treatment, but may take months. Diagnosis think of scabies when patients present with severe pruritis, extensive rash, and positive history of someone with rash and pruruitis. Distribution on the webbed areas of the hands and feet and absence of lesions on the face, make the diagnosis likely. The characteristic burrows may be found, but often are not present or difficult to locate. Scrapping with scalpel demonstrating mites and scybala on a slide clinches the diagnosis.
Treatment Treat all family members even if other members are asymptomatic.
Don't use in less than 2 month olds. After treatment there may be continued itching and should advise patients of this possibility. May treat with oral antihistamines and topical steroids. References Reeves, J. Head Lice and Scabies in Children. 6 Rasmussen, James.