Skin disorders are among the three most frequent health problems among returning travellers. Although ectoparasitic diseases are only a fraction of all skin problems, suspected lesions are often a reason to consult the GP after returning from low economy countries. Scabies presents in a variety of clinically different lesions and is a challenge to the physician, as are the residues of arthropode bites. A focused history and a careful clinical investigation is mandatory. Allergic reactions mirror the variety of individual modulation of immunological processes of ectoparasitic disorders. Further tropical and subtropical parasites such as tungiasis and myiasis are described in which simple measures result in dramatic improvement of major subjective suffering.