Scabies is one of the confusing skin conditions existent today. In simple terms, the symptoms associated with the condition could be easily mistaken for other skin conditions. Therefore, there are higher chances of a misdiagnosis in such circumstances. We have listed a few unique tests which are performed to confirm the presence of scabies on the surface of skin.

For the most part, the final diagnosis is often based on physical examination of the burrows, past history as well as microscopic examination of the eggs or mites on the mineral oil preparation. Epiluminescence microscopy or videodermatoscopy are some of the other tests to confirm the presence of scabies. In these tests, hand held devices are used, which would magnify 20-60 times.

Some dermatologists also use DNA amplification by PCR (polymerase chain reaction) followed by ELISA (enzyme-linked immunosorbent assay). Mostly, these tools are used in the tertiary centres. Such methods are not easily available in several dermatology departments or in emergency departments. Eosinophilia and IgE (elevated immunoglobulin E) may also be demonstrated in a few patients with scabies. In severe forms, a skin biopsy is also recommended. Most frequently, scabies is actually diagnosed clinically on the basis of distribution and appearance of the rash as well as the occurrence of burrows. In case if there are less than 10-15 mites available, it is likely that a person may still be infected with the condition, even if there are no mites, faecal matter or eggs are found. Based on the condition, the doctor would suggest different kinds of diagnosing methods.

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