“…We agree with Gimènez Garcìa et al . that atypical presentations of scabies may be encountered in the elderly 1,4 . Skin ageing, altered inflammatory response or concurrent skin problems 4 may contribute to these atypical features; however, genital burrows and papules are always found in sexually acquired cases of scabies, they may be the presenting signs, and they are the same in sexually active elderly as in young adults.…”