Scabies Flashcards
(10 cards)
Scabies
Mites called Sarcoptes scabiei that burrow under the skin causing infection and intense itching
How long can it take for symptoms to appear after initial infestation
8 weeks
Presentation of scabies
Incredibly itchy small red spots,
Track marks
Between the finger webs
Management of scabies
Permethrin cream to patient and close contacts
Oral ivermectin - single dose for difficult to treat or crusted scabies
Wash bedding, curtains, towels etc.
Chlorphenamine at night - itching
How to diagnose scabies
Clinical
How to apply permethrin cream
Apply to whole body
Should be left on for 8 - 12 hours
Best to apply after shower
Should be repeated a week later as well
When does itching stop in scabies
Itching can continue for up to 4 weeks after successful treatment
Crusted Scabies
Serious infestation with scabies in patients that are immunocompromised
Presentation of crusted scabies
May not have itch - as no immune response
Scaly plaques often misdiagnosed as psoriasis
Management of crusted scabies
Oral ivermectin and isolation
