RT Book, Section A1 Metry, Denise W. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7033750 T1 Chapter 368. Infestations T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7033750 RD 2024/09/14 AB Scabies is a common condition in children caused by an infestation of the Sarcoptes scabiei mite. Scabies is primarily contracted by direct contact with an infested person; therefore, the acquisition and spread of scabies, particularly from parents to children, or mother to infant, occurs with relative ease. The highest prevalence is in children younger than 2 years. The disease affects all age groups, races, and social classes; however, poor socioeconomic conditions, in particular, crowding, lack of proper hygiene, and immunosuppression, are risk factors for the disease. The female mite burrows through the skin, leaving behind a trail of debris, eggs, and feces. Clinical findings result from hypersensitivity and irritation to the mite and mite products. Scabies infestation is extremely pruritic and notoriously worse at night. Frequently, other family members also complain of itching.