A 4-month-old infant presents with generalized pruritic papulovesicular lesions, including involvement of the face and scalp. The mother also has nocturnal pruritus with finger web involvement. Which statement about infantile scabies is correct?

• A The face and scalp are typically spared, similar to adults
• B Burrows are the most commonly observed lesion in infants
• C Palms, soles, face, and scalp are frequently involved, unlike in adults ✓
• D Nodular lesions are rare in infants compared to adults

Explanation

In infants and young children, scabies characteristically involves the palms, soles, face, and scalp, sites that are typically spared in older children and adults. Vesicles and pustules are more common than burrows in infants. Nodular scabies is also more common in infants, often affecting the axillae, groin, and genitalia.

Reference: Andrews' Diseases of the Skin, 13th ed.

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