Antoine Petit and colleagues agree with a major finding of our prospective study:1 diagnosing scabies in elderly people is challenging because clinical presentation differs from textbook descriptions. However, they express concern about rates of mite visualisation by dermatoscopy and confirmatory microscopy of skin scrapings. We reported positive dermatoscopy in seven (11%) of 61 individuals diagnosed with scabies, two of which cases were crusted. Three (43%) of seven had positive microscopy (done 1 day after sampling), including one crusted case.