Diagnosis and treatment response monitoring of scabies with reflectance confocal microscopy: A diagnostic pearl

Fustà‐Novell, Xavier; Morgado‐Carrasco, Daniel; Alejo, B.; Riera‐Monroig, Josep; Puig, Susana

doi:10.4103/ijdvl.ijdvl_482_18

Cited by 4 publications

(6 citation statements)

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“…The remaining 11 cases showed no appearance of scabies mites, which were considered to be related to scratching stimulation, damage to the skin, scab debris covering the structure of scabies mites, longer examination time, slightly poor cooperation of the patient, or fewer sampling sites. RCM can observe the movement of scabies mites, monitor their survival in the body, and help determine the efficacy of anti‐scabies drugs in clinical practice 25 . Traditionally, observing the movement of scabies mites under an optical microscope after scraping the skin is considered the only way to confirm their survival ability in laboratory environments.…”

Section: Discussionmentioning

confidence: 99%

Dermoscopic and reflectance confocal microscopic features of children scabies

Guan,

Bi,

2023

Skin Research and Technology

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ObjectiveTo summarize the image features of dermatoscopy and reflectance confocal microscopy (RCM) in children with scabies, and to explore the clinical significance in the diagnosis of children scabies.MethodsA retrospective analysis was conducted on 102 children scabies diagnosed clinically in the dermatology outpatient department of Tianjin Children's Hospital from April 2018 to June 2022. All children were examined by dermatoscopy and RCM, and images were collected.Results102 patients, 92 patients (90.2%) showed characteristic dermoscopic manifestations: white tunnels and small brown or dark brown triangular structures at their ends. 91 patients (89.2%) showed characteristic reflectance confocal microscopic manifestations: tunnels, scabies mites, feces, and eggs in the epidermal layer. All patients showed different degrees of non‐specific manifestations of dermoscopy and RCM.ConclusionChildren scabies have typical dermatoscopic and reflectance confocal microscopic characteristics, and dermatoscopy and RCM are effective non‐invasive diagnostic methods with high clinical application value in the diagnosis and differential diagnosis of children scabies.

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Section: Discussionmentioning

confidence: 99%

Dermoscopic and reflectance confocal microscopic features of children scabies

Guan,

Bi,

2023

Skin Research and Technology

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“…for nodular scabies-cutaneous mastocytosis (given that both can present a positive Darier sign). 7,8,9 In our experience, FAV allowed for a non-invasive diagnosis of scabies by the simple application of the FAV probe onto the lesion.…”

Section: Fluorescence Advanced Videodermatoscopy For the Rapid And Safe Diagnosis Of Misdiagnosed Scabiesmentioning

confidence: 92%

“…Moreover, the high‐resolution visualization of the mites afforded by FAV could allow an easier differential diagnosis in difficult presentations of scabies. In fact, atypical scabietic infestations can mimic other cutaneous conditions in presentation, such as pityriasis rosea, bullous pemphigoid, Langerhans cell histiocytosis, and—especially for nodular scabies—cutaneous mastocytosis (given that both can present a positive Darier sign) 7,8,9 …”

Section: Figurementioning

confidence: 99%

Fluorescence advanced videodermatoscopy for the rapid and safe diagnosis of misdiagnosed scabies

Trane

Scarfì

Silvestri

et al. 2020

Photoderm Photoimm Photomed

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“…However, the diagnostic utility of this technique is in question given its low sensitivity (46%) and the discomfort it may cause in infants and young children [9]. Noninvasive diagnostic techniques have emerged that allow for more rapid diagnosis of scabies, including, dermoscopy, videodermatoscopy, reflectance confocal microscopy, and optical coherence tomography [10][11][12]. The high sensitivity (83%) and ease of use of dermoscopy, in particular, makes it a promising tool in the diagnosis of scabies [12].…”

Section: Update On Scabiesmentioning

confidence: 99%

Common pediatric infestations: update on diagnosis and treatment of scabies, head lice, and bed bugs

Ogbuefi

Kenner‐Bell

2021

Current Opinion in Pediatrics

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Purpose of the review This review will update pediatric providers on the recent data regarding the epidemiology, diagnosis, and treatment of common skin infestations affecting children and adolescents. Recent findings Standard superficial skin biopsy for scabies and the vacuum method for head lice can increase diagnostic accuracy and efficiency. There is growing resistance to some of the traditional treatments for scabies and head lice, and progress has been made in finding newer and potentially more effective treatments, such as oral moxidectin for scabies and abametapir for head lice. Recent studies have established the safety of traditional treatments, such as permethrin and oral ivermectin in infants and small children. Summary Permethrin and ivermectin are both considered safe and effective for children and adolescents with scabies. Permethrin is generally considered safe in infants less than two months of age. Proper application of permethrin is critical, and providers should emphasize proper application technique. Treatment of head lice should only be initiated with active infestations. Resistance to permethrin continues to increase and other options are now available, including an over-the-counter topical ivermectin formulation. Identification and eradication of bed bug infestations are crucial in preventing bedbug bites.

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Diagnosis and treatment response monitoring of scabies with reflectance confocal microscopy: A diagnostic pearl

Cited by 4 publications

References 4 publications

Dermoscopic and reflectance confocal microscopic features of children scabies

Dermoscopic and reflectance confocal microscopic features of children scabies

Fluorescence advanced videodermatoscopy for the rapid and safe diagnosis of misdiagnosed scabies

Common pediatric infestations: update on diagnosis and treatment of scabies, head lice, and bed bugs

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