Dermatoscopic Diagnosis of Scabies

Dr. Cohen is a dermatology resident at LECOM/Alta Dermatology in Mesa, Arizona.  Email YC. Keywords:  scabies, dermoscopy, delta sign, triangle sign, diagnosis Scabies is an itchy skin condition caused by a tiny burrowing mite called Sarcopetes scabiei.  A scabies diagnosis can be confirmed by taking a skin scraping and seeing the scabies mite, scybala (its pellet-shaped feces), or ovum under the microscope. However, the traditional scabies preparations can be challenging to obtain in certain patient populations, such as young children. Dermatoscopy’s advantage is that it is non-invasive, painless and highly diagnostic in practiced hands. We would like to briefly discuss the typical dermatoscopic features that are seen in patients with … Continue reading

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A Guide for the Akamai Browser

 A 54-year-old carpenter presented to the dermatology clinic for evaluation of a lesion on his right forehead that turned out to be benign.  He also mentioned that his barber brought to his attention some thick furrows he has in his scalp.  These had developed slowly over the past decade or so. Examination of his scalp shows deep furrows consistent with a diagnosis of cutis verticis gyrata .  The patient, after searching the Web, had arrived at the same diagnosis. Since cutis verticis gyrata (CVG) can be associated with acromegaly, I asked the patient about changing hat size, hand size, etc.  He says that over the past 10 or 15 years, … Continue reading

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