Derm_pacalmost 7 years ago

Don’t miss scabies!

35 y/o female c/o severe pruritus (worse at night) and a generalized non-specific eruption all over the body. She went to her PCP who prescribed her Hydroxyzine, which didn’t help. She then went to the ER and got IM prednisone which seemed to subside the pruritus, but a few days later it recured. She finally went to a Dermatologist. Physical exam showed erythematous papules and excoriations on trunk, extremities and groin. A quick skin scraping with mineral oil was performed and this little guy was found guilty!