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ScabiesDefinitionScabies is a contagious skin disease caused by a species of mite that is very small. Alternative NamesSarcoptes scabiei CausesScabies is found worldwide among people of all groups and ages. It is spread by direct contact with infected people and less often by sharing clothing or bedding. Sometimes whole families are affected. The mites that cause scabies burrow into the skin and deposit their eggs, forming a burrow that looks like a pencil mark. Eggs mature in 21 days. The itchy rash is an allergic response to the mite. Symptoms
Mites may be more widespread on a baby's skin, causing pimples over the trunk, or small blisters over the palms and soles. In young children, the head, neck, shoulders, palms, and soles are involved. In older children and adults, the hands, wrists, genitals, and abdomen are involved. Exams and TestsExamination of the skin shows signs of scabies. Tests include an examination under the microscope of skin scrapings taken from a burrow. TreatmentPrescription medicated creams are commonly used to treat scabies infections. The most commonly used cream is permethrin 5%. Other creams include benzyl benzoate and sulfur in petrolatum. Lindane is rarely used, because of its side effects. Creams are applied all over the body. The whole family or sexual partners of infected people may need to be treated, even if they do not have symptoms. For difficult cases, some health care providers may also prescribe medication taken by mouth to kill the scabies mites. Ivermectin is a pill that may be used. Itching may continue after treatment begins, but will disappear if you follow your health care provider's prescribed treatment plan. You can reduce itching with cool soaks and calamine lotion. Your doctor may also recommend an oral antihistamine. Outlook (Prognosis)Most cases of scabies can be cured without any long-term problems. A severe case with a lot of scaling or crusting may be a sign that the person has a disease such as HIV. Possible ComplicationsIntense scratching can cause a secondary skin infection, such as impetigo. When to Contact a Medical ProfessionalCall your health care provider if:
PreventionAvoid contact with infected persons. ReferencesJacobson CC, Abel EA. Parasitic infestations. J Am Acad Dermatol. 2007;56:1026-1043.
Review Date:
10/11/2008 Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-
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