A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Explanation & Rationale
A. Scaly lesions on the inner thighs: Scaly lesions are more commonly associated with fungal infections such as tinea cruris. Scabies typically presents with burrows and intense pruritus rather than isolated scaly patches in the groin area. B. Maculopapular skin burrows on the hand: Scabies is characterized by thin, wavy burrows with associated maculopapular lesions, commonly found on the hands, especially between the fingers. These burrows result from mites tunneling under the skin and are a hallmark finding of scabies. C. Bull’s eye edematous area on the groin: A bull’s eye or target lesion is more characteristic of erythema multiforme or Lyme disease. Scabies does not typically present with this type of lesion or localized edema pattern. D. Rash with red macular lesions on the scalp: Scabies rarely affects the scalp in children beyond infancy. Red macular lesions on the scalp are more suggestive of conditions such as seborrheic dermatitis or viral exanthems rather than scabies.