{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T22:30:17Z","timestamp":1776983417898,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,2,19]],"date-time":"2007-02-19T00:00:00Z","timestamp":1171843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> To describe the clinical characteristics of scabies and the associated morbidity in an impoverished rural community in northeast Brazil.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> A door\u2010to\u2010door survey was made to examine twice the population of an endemic area; first at the end of the rainy season, and a second time in the dry season 4\u2003months later.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> In total, 2005 individuals were examined. The overall prevalence of scabies was 9.8% (95% CI 8.5\u201311.2). Predilection sites with similar relative frequencies in all age groups were the abdomen (83.7%) and the inguinal area\/inner part of the thighs (66.3%). Hands, feet, genitals and the scalp\/neck\/face were significantly more often affected in children &lt;7\u2003years (all <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.03). Fifty\u2010five per cent of the patients showed scabies lesions simultaneously at \u226512 distinct topographic areas. Papular lesions were most commonly found, followed by papular\u2010crusted lesions. Vesicles were significantly more often observed in children (<jats:italic>P<\/jats:italic>\u2003=\u20030.04). Sixty\u2010four per cent of the patients had three or more types of lesions. Local lymphadenopathy was present in 53.6% and superinfection in 36.7% of the cases. The number of topographic areas affected, as well as the proportion of superinfected lesions, was inversely correlated with age (rho\u2003=\u2003\u22120.22, <jats:italic>P<\/jats:italic>\u2003=\u20030.002 and rho\u2003=\u2003\u22120.358, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05, respectively). The quantity of skin surface infested, the proportion of superinfected lesions and the presence of a superinfected lesion distal to an enlarged lymphnode were predictors of lymphadenopathy. Seventy\u2010two per cent of the patients suffered from sleep disorders, mainly because of itching.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Scabies is associated with considerable morbidity in this endemic community. Predilection sites, clinical presentation, quantity of skin surface affected and proportion of secondary infected lesions show a dichotomy between children and adults.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2006.01809.x","type":"journal-article","created":{"date-parts":[[2010,8,11]],"date-time":"2010-08-11T22:01:00Z","timestamp":1281564060000},"page":"493-502","source":"Crossref","is-referenced-by-count":59,"title":["Clinical features and associated morbidity of scabies in a rural community in Alagoas, Brazil"],"prefix":"10.1111","volume":"12","author":[{"given":"Anne","family":"Jackson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Heukelbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur Ferreira da Silva","family":"Filho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ev\u00f4nio de 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