A delayed allergic response resulting
in a raised red rash on the skin often
occurs 30-40 days after
infestation.
While there may be hundreds of spots,
fewer than 10 burrows are typically
found. The burrow appears as a fine,
wavy and slightly scaly line a few
millimeters to one centimeter
long.
A tiny mite (0.3 to 0.4 mm) may
sometimes be seen at the end of the
burrow. Most burrows occur in the webs
of fingers, flexing surfaces of the
wrists, around elbows and armpits, the
areolae of the breasts in females and
on genitals of males, along the belt
line, and on the lower buttocks. The
face usually does not become involved
in adults.
The rash may become secondarily
infected; scratching the rash may break
the skin and make secondary infection
more likely. In persons with severely
reduced immunity, such as those with
HIV infection, or people being treated
with immunosuppressive drugs like
steroids, a widespread rash with thick
scaling may result. This variety of
scabies is called Norwegian scabies (or
crusted scabies).
