Abstract In Reply.—Drs Dolezal and Plamondon bring out several aspects of scabies that were mentioned only briefly in our publication due to the limited scope of the article. A unique feature of the current pandemic is that classic scabies is seldom seen and less typical varieties such as minimal scabies in the unsoiled patient are predominating.1-3 Only 7% of more than 1,000 patients studied in Goa, India from 1969 to 1970 were found to have burrows.4 In the study of Hejazi and Mehregan,5 burrows were absent in over 70% of patients. No burrows were present in any of the neonates described in our study (nor in 11 additional neonates examined since). In only four of the contacts of these 16 infants was there even a suggestion of a burrow. Whether one states that mite survival time is a few hours or one to two days is a References 1. Juranek D, Schultz NG: Epidemiologic investigations of scabies in the United States , in Orkin M, Maibach H, Parish L, et al (eds): Scabies and Pediculosis . Philadelphia, JB Lippincott Co, 1977, pp 27-31. 2. Orkin M: Today's scabies . JAMA 233:882-885, 1975.Crossref 3. Orkin M, Maiback HI: Pediatric dermatology: Scabies in children . Pediatr Clin North Am 25:371-386, 1978. 4. Sehgal VN, Rao MA, Rege MB, et al: Scabies: A study of incidence and a treatment method . Int J Dermatol 11:106-111, 1972.Crossref 5. Hejazi N, Mehregan AH: Scabies: Histological study of inflammatory lesions . Arch Dermatol 111:37-39, 1975.Crossref 6. Heileson B: Studies on acarus scabiei and scabies . Acta Derm Venereol ( (Suppl) ) 26:1-370, 1946. 7. Mellanby K: The transmission of scabies . Br Med J 2:405-408, 1941.Crossref 8. Moschella S (ed): Dermatology . Philadelphia, WB Saunders Co, vol 2, 1975, pp 1487-1552.
American Journal of Diseases of Children – American Medical Association
Published: Oct 1, 1980