In the center of this photograph is a classic burrow which is pathognomonic for the presence of scabies. The track is often elevated resembling a coarse thread with a blister at one end of it. This is where the mite can actually be teased out and identified under the microscope. These burrows are commonly found between the fingers, at the volar aspect of the wrist, the elbows, axillae, umbilical area, knees, ankles and toes. The lesions found on the male genitalia are almost pathognomonic for this condition. Itching is almost invariably more severe at night or after a hot shower. Multiple members of a family or group complaining of itching should be highly suggestive for a diagnosis of scabies. Scabies is a common problem in society. It is caused by an itch mite acquired through intimate contact with someone who has the disease. The first symptoms are a rash and severe itching. The itching progressively worsens and the rash spreads.

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