Abstract
<h3>To the Editor.</h3> —Flame figures were first described by Wells in 1971 and are an important, but not pathognomonic, histopathologic criterion for Wells' syndrome.<sup>1</sup>Since their original description, flame figures have been found in a variety of conditions other than Wells' syndrome. These conditions include arthropod bite reactions from ticks, bees, fleas, and spiders<sup>1,2</sup>; hematogenous disorders, including lymphoma, pseudolymphoma, leukemia, and polycythemia vera; inflammatory conditions, including eczema, prurigo, bullous pemphigoid, and herpes gestationis2; chronic urticaria; respiratory tract infections, such as sinusitis and<i>Streptococcal pharyngitis</i>; drug administration and surgical procedures; dermatophyte infections and sporotrichosis<sup>1</sup>; and parasitic infections, including toxocariasis and onchocerciasis.<sup>2</sup>We report the first case of scabies that reveals flame figures. <h3>Report of a Case.</h3> —A 29-year-old white woman presented to a dermatologist in private practice complaining of a 3-week history of multiple scattered, hemorrhagic, pruritic pustular skin lesions involving her arms and legs. On physical
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