• Scrape burrows or unexcoriated papules.
• The highest yield of mites, eggs, or fecal pellets is from the burrows,
which are most commonly found on hands or feet.
• If many family members have lesions, perform the scraping on
the parents, who are often more cooperative and less fearful than
infants or young children.
• Treatment includes eradication of the mites on the patient, treatment
of associated problems (pruritus, scabietic nodules), treatment
of personal contacts, and destruction of the mite in the patient’s