Proposed clinical algorithm for diagnosing scabies. *Primary lesions are typically located in the finger webs, on the flexor surfaces of the wrists, on the elbows, in the axillae, on the buttocks and genitalia, and on the breasts. †Close contact may include family members and sexual partners. Health care workers with a history of caring for patients with scabies should be considered at risk. ‡Use of a hand-held dermatoscope requires training to recognize the typical ‘jet with condensation trail’ pattern (11)