Scabies is a skin disease that is very common among children but still can be found in adult. Any part of the body may be affected and transmission is by skin to skin contact. Infestation is caused by the mite sarcoptes scabei.
How does it present?
The mites burrow into the skin and lay eggs. The resulting offspring crawl out onto the skin and makes new burrows. This process will keep going if no treatment taken. The absorption of mite excrement into skin capillaries will generate a hypersensitivity reaction that will cause the most irritating symptom – generalized itch, especially at night. This main symptom might take four to six week to develop.
Classic site:
Interdigital folds, the wrists and elbows, umbilical and feet.
Signs:
Characteristic silvery lines may be seen in the skin where mites have burrowed.
Management and advice:
- Detailed explanation should be given to parents regarding the condition, the principal way how it will be spread and the right management and treatment.
- Treat everyone in the household or in close contact at same time
- Change bedding, nightclothes and towels on night of treatment and clean them in a hot water or hot iron.
- Treatment: Benzyl Benzoate lotion (EBB), sulpha with calamine, crotamiton and antihistamine (to relieve itch)
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