Abstract
The diagnosis of scabies depends on finding a burrow or one stage of the parasite. The search is prompted by clinical suspicion and informed by knowledge of the natural history and habits of the human Acarus scabiei. The best source of this information is the monograph by K. Mellanby.1 Scabies should be considered in every patient who complains of persistent itch. In typical cases the diagnosis is easy, but when the visible changes are unusual or slight scabies may not be suspected. It is important to think of the itching patient in relation to his environment, and if another member of the household is itching too there is a prima facie case for suspect ing an infestation.
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