Abstract
An 11-month-old male infant presented with small, erythematous macules, papules, nodules, vesicles, and pustules. The distribution of the lesions involved the trunk, palms, soles, and back. We suggested hand-foot-mouth disease or pompholyx. Histopathological examination of the left upper back found appendages and perivascular infiltration, and infiltrating cells were mainly composed of a small number of lymphocytes. After follow-up, multiple skin lesions spread and looked like mite burrows. We examined his skin scraping microscopically, and identified an adult scabies mite and some eggs. Therefore, we diagnosed him with scabies. First, we chose 10% crotamiton cream for treatment. However, the skin lesions did not resolve, so we used 5% permethrin cream. One month later, there was complete remission of the disease. We should remember the possibility of scabies, which involves obstinate dermatitis with vesicles on the hands and feet. In this case, permethrin treatment contributed to quality of life in the family.Skin Research, 13: 8-12, 2014
