Milton Orkin

Scabies in children.

We are in the midst of a pandemic of scabies. Classic scabies is seen less frequently in the current cycle. The infestation frequently occurs in special forms, the differential diagnosis of which includes nearly every pruritic dermatosis. The cause of the current pandemic is not clear but there is evidence that immunologic factors, particularly delayed hypersensitivity, play a principal role. The diagnosis should be made with certainty, preferably by identifying the mite prior to instituting therapy. The modern scabicides are highly effective. A recent re-evaluation of the risk-benefit relationships of lindane has led to altered therapeutic routines.

Scabies, a current pandemic.

Scabies, caused by the itch mite and transmitted by skin-to-skin contact, is being seen in pandemic proportion. In the United States this infestation is seen in patients of all ages and socioeconomic levels. Scabies is often misdiagnosed, and the classic form occurs less frequently in the current cycle. Differential diagnosis includes most pruritic dermatoses. Diagnosis should be made with certainity, preferably by identification of the mite, before therapy is begun. Modern scabicides are high effective.

Scabies and Pediculosis

There has been a recent notable increase in scabies and pediculosis pubis and pediculosis capitis. Once the diagnosis is established (preferably by demonstrating the mite or louse), therapy includes consideration of a risk to benefit ratio, explanation of the nature of the infestation to the patient, application of appropriate therapeutic techniques, and follow-up procedures. Resistance of the Sarcoptes mite to modern scabicides has been suggested but not proved. Resistance of the head louse and body louse to modern pediculicides has been reported in other countries but not in the United States.

International Conference on Scabies and Pediculosis

To the editors: As the Treasurer of the New Jersey Dermatological Society, I recently had the opportunity to review two bills sent to us for services rendered. These invoices are almost exactly 20 years apart and were sent by the identical company and individual. This printing service supplies paper, mimeographs the material requested, addresses, folds, inserts and mails our monthly meeting notices. On September 8, 1955 our bill was as follows: