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The medical community now recognizes the preventable life-threatening secondary complications attributable to scabies. Nodular scabies occurs in more than 10% of patients despite successful treatment of primary scabies and is particularly easy to misdiagnose. We report a case of nodular scabies in a 6-year-old child. He presented with severe deformity to the head of the penis and severe pruritis lasting for many months. Our case highlights the importance of understanding the differences in disease pathophysiology between scabietic infestation and hypersensitivity to its retained products to better direct effective treatment. Proper diagnosis and treatment of nodular scabies will undoubtedly curb secondary complications on a global scale.<\/jats:p>","DOI":"10.1177\/2333794x241295986","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T02:23:13Z","timestamp":1732155793000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Boy with an Itch: A Case Report of Genital Nodular Scabies"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7741-2623","authenticated-orcid":false,"given":"Tony F.","family":"Bruno","sequence":"first","affiliation":[{"name":"California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Seo","sequence":"additional","affiliation":[{"name":"California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"bibr1-2333794X241295986","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2009.00691.x"},{"key":"bibr2-2333794X241295986","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(81)80204-6"},{"key":"bibr3-2333794X241295986","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2010.4.1653"},{"key":"bibr4-2333794X241295986","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2008.11.028"},{"key":"bibr5-2333794X241295986","unstructured":"Centers for Disease Control and Prevention. 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