- Scabies, a mite infestation is contagious and spreads within a family, school or nursing home.
- Clinical features include intense itch, especially at night, burrows and a non-specific excoriated eruption especially in web spaces of hands, genitalia, buttocks and areola of the breasts.

- Atypical presentation including head/neck, palms and soles may be seen in young children and immunocompromised.

- Consider in high risk occupations e.g. nursing.
- Crusted scabies in the elderly/immunocompromised may be mistaken for dermatitis or psoriasis and itch may be less prominent.
