Changing Patterns in the Distribution of Skin Lesions of Scabies during the COVID -19 Pandemic – A Cross-Sectional Observational Study

Abstract

BACKGROUND
 An ectoparasitic disease, scabies, caused by the mite Sarcoptes scabiei var hominis. Some of the predisposing factors are overcrowding, unhygienic surroundings, immunocompromised status, dementia, homelessness, and sexual contact. In this study, we wanted to evaluate the changed distribution of lesions of scabies during pandemic.
 METHODS
 A cross sectional study was performed on 600 patients attending the skin department of our tertiary care hospital over a period of 6 months. The sites of the scabies lesions were noted along with types of lesions. Demographic data and history of regular hand washing and sanitization were also documented.
 RESULTS
 Our study revealed an important correlation between change in pattern of distribution of scabies lesions from being less frequent on finger webs (19 %) to being more frequent on abdomen (periumbilical area) (73 %) and groins (67 %) due to regular hand washing and frequent sanitization, in this pandemic era.
 CONCLUSIONS
 A significant change in distribution of skin lesions in scabies can be noticed during this COVID-19 pandemic.