In today’s clinic, a patient with a history of more than 1 year has been treated for dermatitis and eczema by multiple doctors. However, the patient was not cured for a long time, and the examination showed many scattered papules and scratches on the extremities of the body, and some parts of the body showed obvious lichenoid changes. The diagnosis of scabies was made by asking the medical history that there were scabies nodules that initially started from thin skin ΓΓΓoo Luo Bones and bones and endured wine sole. This is the 15th scabies that I have seen in my clinic this year that was missed elsewhere. In fact, scabies is caused by the scabies mite. It is often parasitic on the thin and soft part of the skin, such as the finger crease and forearm flexure, elbow fossa, axilla, umbilicus, lower abdomen, genitalia, inguinal region and the inner part of the upper part of the femur. It does not usually involve the head and face, and mainly presents as papules, herpes, tunnels, and even scabies nodules in the folds or scrotum. This is the manifestation of scabies in everyone’s mind. It is easy to diagnose, and timely treatment will not cause much pain. However, in reality, scabies is not always so typical, so it is misdiagnosed and underdiagnosed, and the “7-year itch” in the history of dermatology is the scabies that is diagnosed only after seven years of onset. It causes unimaginable pain to the patient. So here is a list of the rare scabies for your reference, but I hope that the early detection of those atypical scabies, timely treatment, so that patients from unnecessary pain. Scabies in infants and children Scabies often does not have a first appearance on thin skin Φ milk paradoxical leech『(2) amidships old hack daughter-in-law. The transport of transport [for the prayer of wai-ai] is carried on, and the blind chains of the game are not around the boil invading the ben yo『careful in the collection of the pancreatic hissing larvae latent D penalty Norwegian scabies, also called crusted scabies, is mainly seen in people with resistance, and the initial stage is not taken seriously, and later on the torso extremities develop tinea-like changes due to repeated scratching, the skin is dry and crusted, and scaly patches of hyperkeratosis appear, and in serious cases vesicles, pustules, and malodor may appear, and hair falls off, and nail thickening, swollen lymph nodes throughout the body, thick scales, heavy disease, highly infectious; cleaners scabies This part does not have obvious features of classic scabies distribution, looks like insect mite dermatitis, only seen on the trunk, as scattered distribution of papules, punctate scratches, easy to miss the diagnosis, but long-term, the key to diagnosis is to ask the history of the disease and contact history, there is no close contact with scabies patients in the vicinity; dermatitis eczema-like scabies Initially, scabies was underdiagnosed and not treated in time, or it was treated in time, but the method was inappropriate, resulting in many scattered papules, scratches, lichenoid lesions, and even vesicles on the trunk and extremities due to itching and scratching irritation, and the key to diagnosis is to ask the history of the disease and contact history, and to examine the patient’s perineum to see if there are scabies nodules in the vicinity; scabies secondary to infection Infection This kind of patient will come up with pustules, vesicles, and a lot of purulent secretions on the trunk and extremities after infection, and sepsis, acute renal failure, etc. appear in serious cases, and cover up the primary scabies, and it is very important to inquire about the history of the disease, contact history, and whether there are scabies patients in close contact with the surrounding area. But I hope this short article can increase everyone’s understanding of scabies, timely discovery, timely treatment, so as not to make scabies patients suffer unnecessary pain.