High-magnification videodermatoscopy: A new noninvasive diagnostic tool for scabies in children

Francesco Lacarrubba, Maria Letizia Musumeci, Rosario Caltabiano, Raffaello Impallomeni, Dennis P West, Giuseppe Micali*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

A study of 100 children suspected of having scabies was carried out using high-magnification (HM) videodermatoscopy as the only diagnostic tool. HM videodermatoscopy reaches magnifications of up to 600× and allows a detailed inspection of the skin. Rapid and clear identification of mites, migration burrows, eggs, and feces was obtained in 62 of 100 patients. None of the 38 patients with negative findings showed any sign of infestation 2 weeks later. HM videodermatoscopy is rapid, effective, and sensitive, especially in those cases with nonspecific clinical features, and allows clear detection of diagnostic details usually not appreciable at lower magnifications. It has high specificity, with no chance of false-positive results, and being noninvasive, it eliminates the risk of accidental infections. Finally, the most important advantage in children is its high compliance rate, as it does not cause pain or physical or psychological discomfort. It may be used for primary diagnosis as well as for posttherapeutic follow-up and for screening of family members, thus reducing the risk of persistence and diffusion of the infestation.

Original languageEnglish (US)
Pages (from-to)439-441
Number of pages3
JournalPediatric dermatology
Volume18
Issue number5
DOIs
StatePublished - Nov 29 2001

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology

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