To the Editor. —Flame figures were first described by Wells in 1971 and are an important, but not pathognomonic, histopathologic criterion for Wells' syndrome. 1 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 1,2 ; 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 Streptococcal pharyngitis ; drug administration and surgical procedures; dermatophyte infections and sporotrichosis 1 ; and parasitic infections, including toxocariasis and onchocerciasis. 2 We report the first case of scabies that reveals flame figures. Report of a Case. —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