Scabies in infants and young children is often different from the classic syndrome seen in adults.


Risk factors:

(1) poor hygiene


Location of lesions:

(1) often generalized lesions

(2) hands and palms

(3) feet and soles

(4) face

(5) body folds

(6) buttocks and perineum


Features of the lesions:

(1) lesions are often atypical (vesicles, pustules, nodules) common

(2) burrows often impossible to find

(3) may be excoriated and secondarily infected


Behavioral effects:

(1) irritable

(2) poor feeding

(3) poor sleeping


Differential diagnosis:

(1) infantile acropustulosis

(2) atopic dermatitis

(3) pemphigus


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