Table of Contents
Introduction
Clinical features
Diagnosis
Differential diagnosis
Mx
scabies
see also:
acute generalized non-vesicular non-purpuric rashes covering most parts of the body
the linear skin lesion or rash
dermatitis herpetiformis
mites
parasites
Introduction
in 1687, Cestoni: discovered the mite, ascaris, as the cause of scabies
scabies is a very easily spread skin condition caused by the mite burrowing under the skin and causing very pruritic, often linear lesions
Clinical features
pruritic, often linear skin lesions which tend to be on the web spaces on hands, forearms, breasts, peri-umbilical region in particular
they rarely affect the scalp or face except in cases of
Norwegian scabies
Diagnosis
microscopic examination of the contents of skin burrows to reveal the mite
however, often it is a clinical diagnosis
Differential diagnosis
acute generalized non-vesicular non-purpuric rashes covering most parts of the body
the linear skin lesion or rash
dermatitis herpetiformis
Mx
see
RCH - scabies (pdf)
2 doses of oral
ivermectin
to a population infested with scabies has been shown to be more effective than mass treatment with topical
permethrin
1)
1)
Australian study in Fiji published 2019