Scabies Skin Itching & Infection
What is Scabies?
Scabies is an itchy skin condition caused by a tiny parasite (mite) called Sarcoptes scabiei. Scabies is extremely contagious and spreads rapidly in crowded conditions.
The itchy rash of scabies develops when a female scabies mite burrows into superficial skin and lays eggs. The human immune system is highly sensitive to the presence of the mite and produces a massive allergic response, which causes intense itching.
Who’s at risk?
Scabies is not caused by lack of personal hygiene, though it is more frequently seen in people who live in crowded conditions such as hospitals, nursing homes, child care facilities, and other situations where people spend extended periods of time in close contact with each other.
What are the signs and symptoms?
Although the entire body may itch, the most common locations for the lesions of scabies include:
- The areas between the fingers (finger webs)
- Inner wrists, inner elbows, and armpits
- Breasts of females and genitalia of males
- Navel (umbilicus)
- Lower abdomen
- Backs of knees
The most obvious signs of scabies are pink-to-red bumps, and the burrow, which is a fine, thread-like, scaly line (3–10 mm long), sometimes with a tiny black speck (the burrowing mite) at one end.
Scabies is intensely itchy, especially at night.
Scratching the itchy lesions can create breaks in the skin, and these breaks can become infected with bacteria.
A severe form of scabies, called Norwegian scabies or crusted scabies, is seen in:
- Elderly people
- Individuals with weakened immune systems (such as organ transplant recipients or people with HIV/AIDS)
- Malnourished people
- People who are physically and/or mentally impaired or disabled
What is the treatment?
Scabies is extremely contagious. It is easily spread to sexual partners and to other members of the household. Less commonly, it may be spread by sharing towels, clothing, or bedding.
Wash all clothing, bedding, and towels used by the infested person and dry these items in a hot dryer. Vacuum all carpets, rugs, and upholstered furniture.
Your physician may be able to diagnose scabies simply by examining your skin for typical lesions such as burrows. A skin scraping, called a scabies preparation, may be examined under the microscope for mites, eggs, or mite droppings (faeces).
In most cases of scabies, your doctor may recommend a topical cream or lotion to be applied to all areas of the body, such as:
- Permethrin cream – After application, wash the cream off after 8–14 hours, and use the permethrin cream again in 1 week.
- Crotamiton lotion or cream – Apply once daily for 5 consecutive days.
- Sulfur ointment – Apply nightly for 3 consecutive nights. This is often the best choice for babies and for pregnant and nursing women because it is very safe to use.
- Lindane lotion or cream – Wash the cream or lotion off after 8 hours. Lindane may be toxic to some people. Therefore, avoid using it for young children, pregnant or breast- feeding women, or people with diseases affecting the nerves (neurological diseases).
- Ivermectin pills – Take once and then repeat 1–2 weeks later.
- Antihistamine pill.
- Antibiotic pills, if any scratched areas appear to be infected with bacteria.
Itching may take up to 3 weeks to go away, as your immune system continues to react to dead mites.
Household members, sexual partners, and anyone else with prolonged skin-to-skin contact with the infested person should also be treated simultaneously.
What would be the estimated cost of the treatment?
In general, a physical consultation with Dr. Rinky Kapoor will cost you about INR 1000/-. However, regular follow ups will ensure faster cure.
For more information on Dr. Rinky Kapoor’s work, click on:
The Esthetic Clinic is a world class center dedicated to skin care and plastic surgery of the entire body – and specializes in housing an experienced Dermatologist, Dr. Rinky Kapoor, who can provide world class Skin Treatments, for skin diseases and make your skin look beautiful. So if you want to go ahead and get your hair, skin, and nails treated, The Esthetic Clinic is the best option for you.
A lot of our patients visit us from Hyderabad, New Delhi, Chennai, Bangalore, Kolkata, Pune, Ahmedabad, Chandigarh, Jaipur, Nagpur, Kolhapur, Cochin, Trichy, Bhopal, Indore, Assam, Manipur, Mizoram and many other cities in India. Many of our consumers (medical tourism) also come in from the USA, Singapore, Dubai, Qatar, Canada, Nigeria, Kenya, Mauritius, UK, South Africa and many other top countries in the world.
About Dr. Rinky Kapoor
Dr. Rinky Kapoor, Co-founder of The Esthetic Clinic, is one of the best dermatologists in the world & currently practices in Mumbai, India. Dr. Rinky Kapoor is a Consultant Cosmetic Dermatologist, Cosmetologist & Trichologist at S L Raheja Fortis Hospital, Mumbai, India. Dr. Kapoor is trained at the National Skin Centre, Singapore & at Stanford University, USA. A celebrity skin doctor, Dr. Rinky Kapoor has won many honors such as “Best Dermatologist Mumbai”, “Top 10 Cosmetologist India”, etc for her evidence based expert dermatology care, affordable & reliable skin care, hair care & nail care …Read more
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