How is presentation of scabies?

• The time from initial infestation to symptoms is typically 3-4 weeks. Once sensitized to the mite, re-infestation results in symptoms within 1-2 days • Papules may commonly involve the axillae, breasts, umbilicus, penis, scrotum, wrists and finger webs • The scalp and head are more frequently involved in infants, elderly and immuno-suppressed individuals • The hallmark feature is itching at night