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Adults manifest lesions primarily on the interdigital web spaces of the hands, flexor aspects of the wrists, dorsal feet, axillae, elbows, waist, buttocks, and genitalia. Palms (along with soles and head) are commonly involved in infants and very young children but typically absent in older age groups. Here, we report 25 older children and adult patients with scabies including involvement of the palms. If patients are left untreated for long periods of time in hot tropical climates, scabies may produce severe infestation with involvement of palms in older children and adults. We should acknowledge palms as potential body sites whose involvement warrants early and aggressive treatment in scabies.<\/jats:p>","DOI":"10.1111\/ijd.15383","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T12:28:42Z","timestamp":1609763322000},"page":"605-610","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Scabies involving palms in older children and adults: a changing scenario"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9658-7077","authenticated-orcid":false,"given":"Sankha","family":"Koley","sequence":"first","affiliation":[{"name":"Department of Dermatology Bankura Sammilani Medical college Bankura India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayanti","family":"Datta","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bankura Sammilani Medical college Bankura India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahriar Ahmed","family":"S. K.","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bankura Sammilani Medical college Bankura India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhiman","family":"Tarafdar","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bankura Sammilani Medical college Bankura India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"World Health Organization.Neglected tropical diseases. Scabies and other ectoparasites. Available from:https:\/\/www.who.int\/neglected_diseases\/diseases\/scabies\u2010and\u2010other\u2010ectoparasites\/en\/[accessed on 24 April 2020]."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03798.x"},{"key":"e_1_2_5_4_1","unstructured":"MSF Medical Guidelines.Clinical guidelines. Chapter 4: Skin diseases. Scabies. 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