Figure 2. Photo series of two lesions located next to the nail rim of the fifth toe; treatment with dimeticone.

(A) Baseline: Two sand flea lesions in stage IIIa are located next to each other with the characteristic watchglass-like elevation. The abdominal cone is the circular brownish protrusion in the center of the lesions. (B) Day 3: The abdominal cones have changed in a brownish-black crust, the watchglass-like elevations have vanished and the lesions have dried out. Desquamation of the stratum corneum around the lesions has started. No signs of viability were detected. (C) Day 7: The appearance of the lesions has not changed; desquamation has slightly increased.