SCABIES

Description

  1.  pruritic skin infestation caused by the host-specific mite Sarcoptes scabiei hominis.
  2. a very itchy, pimple-like rash to form on the skin.

Symptoms

High-yield locations for burrows include the following:

  1. Webbed spaces of the fingers
  2. Flexor surfaces of the wrists
  3. Elbows
  4. Axillae
  5. Belt line
  6. Feet
  7. Scrotum (men)
  8. Areolae (women)

Causes

  1. scabies mites can be transmitted by:
  2. holding hands with an infected person for a prolonged period of time
  3. having sex with an infected person 
  4. sharing clothing, towels and bedding with an infected person (although this is rare)

Diagnostic Tests

  • lab tests
  • ink test
  • biopsy
  • polymerase chain reaction (PCR) assay.

Treatments

  • antibiotics,antihistamines
  • Lotions and creams 

Medications

  • 5 percent permethrin cream
  • 25 percent benzyl benzoate lotion
  • 10 percent sulfur ointment
  • 10 percent crotamiton cream
  • 1 percent lindane lotion
  • Benadryl or pramoxine lotion
  • hydroxyzine hydrochloride (Atarax), diphenhydramine hydrochloride (Benadryl)
  • cyproheptadine hydrochloride (Periactin)
  • scabicidal agent (eg, permethrin, lindane, or ivermectin),

Prevention

wash all of the following in hot water that reaches 122°F

  • clothing
  • bedding
  • towels
  • pillows
  • vacuuming
  • clean the vacuum with bleach and hot water
  • Bleach and hot water