No wonder it itches: quick bedside visualization of a scabies infestation using reflectance confocal microscopy

Francisco, Gina; Eilers, Steven; Haroon, Attiya; Virmani, Pooja; Cha, Jisun; Pappert, Amy; Rao, Babar

doi:10.1111/cup.13336

Cited by 4 publications

(5 citation statements)

References 5 publications

(11 reference statements)

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“…It is of great significance to diagnose scabies. 22 , 23 In this study, 102 patients underwent RCM examination, of which 91 patients showed characteristic manifestations, with a sensitivity of 89.2% for the diagnosis of scabies, which is similar to literature reports. 24 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.…”

Section: Discussionsupporting

confidence: 86%

“…In these microscopic features, it is highly specific to find scabies mites, scabies eggs, or dung ball structures for the diagnosis of scabies, and scabies can be diagnosed when one of the three is found under RCM, dung ball is the most common feature of reflex confocal microscope in scabies, and its sensitivity and specificity are high. It is of great significance to diagnose scabies 22–23 . In this study, 102 patients underwent RCM examination, of which 91 patients showed characteristic manifestations, with a sensitivity of 89.2% for the diagnosis of scabies, which is similar to literature reports 24 .…”

Section: Discussionsupporting

confidence: 79%

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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: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 79%

Dermoscopic and reflectance confocal microscopic features of children scabies

Guan,

Bi,

2023

Skin Research and Technology

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“…Doch nicht nur zum Monitoring des Lichen sclerosus eignen sich die nichtinvasiven diagnostischen Geräte sehr gut, auch für die Diagnostik und die Verlaufskontrolle der Skabies sind sie hilfreich. Dies konnten bereits einige Studien für KLM [3,5,6] und OCT [2] belegen. Mit der OCT kann, so wie auch in unserem Fall in .…”

Section: Dermatophytosenunclassified

Nichtinvasive bildgebende Diagnostik bei Hauterkrankungen im Kindesalter

2021

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“…However, this method has low sensitivity and may not be practical in the clinical Detection of Sarcoptes scabiei using RCM was first reported in 2005 [8]. Since then, several publications have described the usefulness of RCM for diagnostic confirmation of scabies [9][10][11][12]. On RCM, a burrow can be identified as a large, tortuous, hypo-refractive segment containing mites, eggs, or feces (scybala), (Figure 1).…”

Section: Parasitosismentioning

confidence: 99%

“…On RCM, a burrow can be identified as a large, tortuous, hypo-refractive segment containing mites, eggs, or feces (scybala), (Figure 1). Sarcoptes scabiei appears as an inhomogeneously refractive ovoid body with short bright legs and a polygonal highly-refractive head [11]. Female mites are 400×300μm in size, whereas males are just over half this size.…”

Section: Parasitosismentioning

confidence: 99%