Review of scabies infestation and selected common cutaneous infections

• Scabies in infants may present with more prominent inflammation, crusting, nodular lesions, and truncal involvement than is seen in older children. (3) (9) • Based on strong research evidence, permethrin 5% cream is the first-line treatment for scabies in children older than 2 months. (12)(13) • Based on some research and consensus, inflammation of molluscum lesions and coexistent inflammatory eruptions may indicate immune response and imminent clearance. (22)(23) • Use of topical corticosteroids to treat underlying dermatitis in eczema herpeticum may be indicated, provided the patient is receiving adequate systemic antiviral treatment. (33) • Based on observation, typical presentations of hand-foot-mouth disease can mimic eczema herpeticum; this diagnosis should be considered in cases of suspected eczema herpeticum with negative herpes simplex virus polymerase chain reaction. • Onychomadesis may occur after hand-foot-mouth disease. • Based on opinion, one should consider treating neonates with bullous impetigo, particularly preterm infants or those with extensive involvement, parenterally, given multiple case reports of evolution to staphylococcal scaled skin syndrome.