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Scabies

Scabies is a contagious disease caused by the mite Sarcoptes scabiei, commonly acquired through close contact with infested individuals and associated with poor living conditions. Symptoms include intense itching, primary lesions in specific body areas, and potential secondary infections from scratching. Treatment involves laundering infested clothing and applying topical medications like Lindane, with supportive care for itching.

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27 views5 pages

Scabies

Scabies is a contagious disease caused by the mite Sarcoptes scabiei, commonly acquired through close contact with infested individuals and associated with poor living conditions. Symptoms include intense itching, primary lesions in specific body areas, and potential secondary infections from scratching. Treatment involves laundering infested clothing and applying topical medications like Lindane, with supportive care for itching.

Uploaded by

Tribikram
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Scabies

By
Dr.Sadagoban,Pharm.D
 DEFINITION
 Scabies is a contagious disease caused by
the mite Sarcoptes scabiei.
 EPIDEMIOLOGY & DEMOGRAPHICS
• Scabies is generally acquired by sleeping
with or in the bedding of infested individuals.
• It is generally associated with poor living
conditions and is also common in hospitals and
nursing homes.
PHYSICAL FINDINGS & CLINICAL
PRESENTATION

 • Primary lesions are caused when the female mite


burrows within the stratum corneum, laying eggs within the
tract she leaves behind; burrows (linear or serpiginous tracts)
end with a minute papule or vesicle.
 • Primary lesions are most commonly found in the web
spaces of the hands, wrists, buttocks, scrotum, penis,
breasts, axillae, and knees.
 • Secondary lesions result from scratching or infection.
 • Intense pruritus, especially nocturnal, is common; it is
caused by an acquired sensitivity to the mite or fecal pellets
and is usually noted 1 to 4 wk after the primary infestation.
 • Examination of the skin may reveal burrows, tiny
vesicles, excoriations, inflammatory papules.
 • Widespread and crusted lesions (Norwegian or crusted
scabies) may be seen in elderly and immunocompromised
patients
 LABORATORY TESTS

 • Microscopic demonstration of the organism, feces, or eggs: a


drop of mineral oil may be placed over the suspected lesion before
removal; the scrapings are transferred directly to a glass slide; a
drop of potassium hydroxide is added and a cover slip is applied.
 • Skin biopsy is rarely necessary to make the diagnosis.
 NONPHARMACOLOGIC THERAPY

 Clothing, underwear, and towels used in the 48 hr before treatment


must be laundered
ACUTE GENERAL Rx
• Following a warm bath or shower, Lindane
(Kwell, Scabene) lotion should be applied to all skin
surfaces below the neck (can be applied to the face if
area is infested); it should be washed off 8-12 hr after
application. Repeat application 1 wk later is usually
sufficient to eradicate infestation.
• Pruritus generally abates 24-48 hr after
treatment, but it can last up to 2 wk; oral
antihistamines are effective in decreasing
postscabietic pruritus.
• Topical corticosteroid creams may hasten the
resolution of secondary eczematous dermatitis.

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