Every patient presenting with an itchy rash should be carefully examined for burrows. These are most often seen between the fingers, on the wrist, elbows, nipples, genitals and feet.
Vesicles are common, particularly on the palms and soles of infants.
In scabies, the itch may be out of proportion to the rash. Question carefully to determine whether household or close personal contacts may have a similar skin complaint. Repeat scabicide after 4 to 7 days Re-examine in one month.