A lady in a care home for a month when she began to complain of an itchy rash on her abdomen and thighs. Examination revealed a non-specific rash with marked excoriations caused by repeated scratching. A diagnosis of eczema was made and an antihistamine and topical corticosteroid were prescribed to alleviate the itching. Advice about emollient use was also given. However, there was no improvement and other patients in the home also complained of itching.

A further examination of the patient found evidence of a few 'burrows'. What could be the most probable diagnosis for this condition? * This image based case is from Docplexus editorial team for educative purpose only. Source: Haymarket