Snapshot A 21-year-old male college student presents to the health clinic complaining of intense itchy, painful, red streaks between his fingers and in the groin area. The patient reports that the itchiness seems to be worse at night. Several other students have presented with similar problems over the last couple of weeks. Introduction Superficial skin infection caused by arthropod Sarcoptes scabiei (mite) Severe itching at night Too small to be seen by naked eye Pathognomonic sign login to view 1 more bullet Risk factors login to view 1 more bullet Presentation Symptoms login to view 2 more bullets Physical exam login to view 13 more bullets Evaluation Diagnosis based on clinical exam and history Diagnosis confirmed with simple office procedure login to view 2 more bullets Differential Chiggers Bedbugs login to view 3 more bullets Contact dermatitis Treatment Topical permethrin login to view 2 more bullets If extensive involvement (immunocompromised individuals) login to view 1 more bullet Sterilize laundry login to view 1 more bullet Prevention, and Complications Prevention login to view 3 more bullets Complications login to view 1 more bullet Prognosis Very good with treatment