Scabies

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Overview

Scabies is a highly contagious skin condition caused by tiny mites that burrow into the skin, leading to intense itching and a characteristic rash. This condition can be quite uncomfortable and, if left untreated, can lead to secondary infections. 

Prompt diagnosis and appropriate treatment are crucial to manage scabies and prevent its spread to others. Avoid secondary infections caused by scabies by doing a symptom assessment now!

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Woman Scratching Arm - Scabies Concept

What is Scabies?

  • A highly contagious skin condition caused by tiny mites that burrow into the skin
  • Leads to intense itching and a characteristic rash
  • Can cause discomfort and, if left untreated, can lead to secondary infections

Causes of Scabies

  • Infestation by the Sarcoptes scabiei mite, which burrows into the skin
  • Direct skin-to-skin contact with an infected individual
  • Sharing personal items like clothing, bedding, or towels with an infected person

Preventing Scabies

  • Avoid close, prolonged contact with individuals who have scabies
  • Wash personal items like clothing, bedding, and towels in hot water and dry them thoroughly
  • Disinfect surfaces that may have been in contact with an infected person

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Symptoms of Scabies

  • Intense itching, especially at night
  • A characteristic rash with small, raised, and often itchy bumps
  • Burrow tracks or lines in the skin, especially in the webbing between the fingers, wrists, and elbows
  • Potential secondary skin infections due to excessive scratching

Treating Scabies

  • Prescription-strength topical creams or lotions containing permethrin, spinosad, or malathion
  • Thorough cleaning and disinfection of personal items and living environments

Self-Care for Scabies

  • Avoid scratching the affected areas, as this can lead to secondary infections
  • Use over-the-counter anti-itch creams or medications to help alleviate symptoms
  • Wash personal items in hot water and dry them thoroughly to kill any mites

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Medications for Scabies

  • Topical creams or lotions containing permethrin or ivermectin, as prescribed by a healthcare provider
  • Oral ivermectin, in more severe or resistant cases

Risk Factors for Scabies

  • Close, prolonged skin-to-skin contact with an infected individual
  • Sharing personal items like clothing, bedding, or towels with an infected person
  • Living in crowded or unsanitary conditions that facilitate the spread of the mite

Summary

Scabies is a highly contagious skin condition that requires prompt treatment to manage the symptoms and prevent the spread of the infection. By practicing good hygiene, avoiding close contact with infected individuals, and seeking appropriate medical care, individuals can effectively address and control this condition.

Frequently Asked Questions

Symptoms typically develop 2-6 weeks after first exposure. However, if you’ve had scabies before, symptoms might appear within 1-4 days of re-exposure.

Animal scabies (mange) might cause temporary skin irritation in humans. However, these mites cannot complete their life cycle on humans. Human scabies is mainly transmitted through prolonged skin-to-skin contact with infected people.

Itching often intensifies at night. This might be related to fewer distractions, daily rhythm of certain body functions, or the natural cycle of the mites. Scientists are still studying the exact cause.

After successful treatment, itching might continue for several weeks. This is a normal reaction and doesn’t usually mean you need more treatment. However, if new burrows or rash appear after 4 weeks, contact your healthcare provider.

Brief skin contact rarely transmits scabies. The mites usually need prolonged, direct skin-to-skin contact (typically 10-15 minutes) to successfully transfer from person to person.

In adults, scabies mites often prefer specific areas:

  • Between fingers and finger creases
  • Inner wrists and elbows
  • Around the waist and navel
  • Lower buttocks and genitals
    The head, face, neck, and palms are usually not affected in adults, though they may be in young children and infants.

Some immunity may develop after having scabies, but it’s usually not complete protection against future infections – you might still get infected if exposed again to the mites.

Scabies mites might survive for 48-72 hours at normal room temperature. In cooler, more humid conditions, they may live up to a week outside the human body. This is why washing and storing potentially infected items for several days helps prevent reinfestation.