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Scabies is commonly characterized by the presence of itchy rash but this typ-ical symptom does not necessarily always mean scabies. A female infant pre -sented to the paediatrics department of Kuwait teaching hospital with a char -acteristic pruritic rash on soles suggestive of scabies. However, failure of the
anti-scabies treatment, absence of positive personal and hygienic history and
progression towards the deterioration of existing situation lead to the estab-lishment of a history and clinical based diagnosis of Infantile Acropustulosis.
The treatment was started accordingly and soon after starting treatment, the
patient showed the signs of recovery. No doubt that scabies is comparatively
more common as compared to infantile acropustulosis but yet scabies must
not be considered as an absolute diagnosis for a patient presenting with an
itchy rash particularly on soles.
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