On an infant, lesions from scabies can be widespread. Scabies can have firm or nodular lesions as well as small, flat lesions, as seen on the limb of this infant. This image displays pink, raised lesions at the wrists typical of scabies on an infant. This image displays an infant with a variant (with firm skin lesions) of scabies. A superficial bacterial skin infection, caused by scratching, is present at the thigh.  This image displays an infant with a widespread, bump-like allergic reaction to scabies, known as an id reaction. This image displays a fine, small, scaly track in the skin, called a burrow, caused by a scabies infection on the bottom of the feet. This image displays the tiny, linear, scaly trails of the scabies mite, called a burrow, on an infant's foot. In infants, scabies can cause pus-filled lesions, as seen at the base of the thumb.  This image displays a small, curving line of scale typical of a burrow; the other lesions show the spectrum of scabies with oozing and crusted skin lesions as well as bumps. Look for tiny linear areas of redness and crusting between the fingers, representing the female mite's burrow. In scabies, there can be hundreds of skin lesions that occur as an allergic reaction to the few scabies mites that are actually present. This image displays the mite of scabies magnified under a microscope.
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Picture of Scabies (Pediatric): On an infant, lesions from scabies can be widespread. Divider line
On an infant, lesions from scabies can be widespread.
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Self-Care Guidelines
Though scabies is extremely contagious, it usually requires prolonged skin-to-skin contact with a person already infested. A quick handshake or hug will not normally spread the infection. However, scabies is easily spread to sexual partners and to other members of the household. Less commonly, it may be spread by sharing towels, clothing, or bedding.

Scabies requires prescription medication in order to stop the infestation. Once your child is under a doctor's care, there are steps you can take to prevent scabies from coming back:
  • Mites cannot survive off the human body for more than 48–71 hours. Therefore, wash all clothing, bedding, and towels used by the infested person in the previous 72 hours in hot water and dry these items in a hot dryer.
  • Vacuum all carpets, rugs, and upholstered furniture, and discard the vacuum bags.
When to Seek Medical Care
See your child's doctor for evaluation if he or she develops an extremely itchy rash. If other members of the household or your child's close contacts have similar itchy rashes, make sure they are also evaluated by a physician.
Last Modified: 29 Jan 2008
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