Pathology
Images
Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Scabies
Etiology

Caused by the mite Sarcoptes scabiei

Clinical signs
  • location: wrists, web spaces between the fingers, palmar and lateral aspects of the fingers, areola mamme, penis, trunk
  • tiny papules, excoriations, burrows, pustules
  • eczematization and impetinization
  • nodular form affects the genital, esp. in childres
  • palms, soles, scalp and face is affected in immunocompromised patients and children
  • severe pruritus with maximmum at night
  • sometimes residual postscabietic nodule is formed
Histology

Scabies mite creates subcorneal burrows, where parts of larvae, eggs or feces can be found. Sometimes only undulated epidermal surface (imprint of the parazite) can be found. Dermal reaction varies, eosinophils are often present, sometimes vasculitis, epidermis is thickened, sometimes with spongiosis.

In postscabietic nodules no parazites are to be found.