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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Specialty: Infectious Diseases, Dermatology