Scabies appears as small, intensely itchy red bumps and thin, wavy burrow tracks on the skin. The characteristic burrows look like pencil marks or raised lines, typically measuring 2-10 millimeters long and appearing grayish or skin-colored. These tracks are created by female mites tunneling under the skin to lay eggs. Common locations include the webs between fingers, wrists, elbows, armpits, waistline, and genital areas. The rash often becomes more widespread with secondary scratching, creating additional red bumps, welts, or crusty sores. In infants and young children, scabies may also affect the face, scalp, palms, and soles of feet.
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