B. Brunetti et al., FINDINGS IN-VIVO OF SARCOPTES-SCABIEI WITH INCIDENT LIGHT-MICROSCOPY, EJD. European journal of dermatology, 8(4), 1998, pp. 266-267
Parasites, especially Sarcoptes scabiei, may represent a difficult dia
gnostic problem, In many cases, the results of the usual methods for t
he diagnosis of scabies, such as microscopic identification, can be ne
gative owing to the small number of parasites present in the cornified
layer. Moreover, tape stripping or removal of mites with a needle is
difficult and sometimes painful, and therefore, not well accepted. We
have evaluated the applicability and usefulness of epiluminescence mic
roscopy, a new technique frequently used for the study of pigmented le
sions of the skin. Thirty seven patients with the presumptive clinical
and/or anamnestic diagnosis of scabies were enrolled in our study. Wi
th this method many suspicious sites may be examined within a few minu
tes without causing any harm or discomfort to the patient.