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Scabies
 
Scabies  
   

What is scabies?

Scabies is an itchy skin condition caused by a tiny, eight-legged burrowing mite called Sarcoptes scabiei. The presence of the mite leads to intense itching in the area of its burrows. The urge to scratch may be especially strong while you're in bed at night.

Scabies is contagious and can spread quickly through close physical contact in a family, child care group, school class or nursing home. Because of the contagious nature of scabies, doctors often recommend treatment for entire families or contact groups to eliminate the mite.

Medications applied to your skin kill the mites that cause scabies, although you may still experience some itching for several weeks.

 
 

Symptoms

 
 

Scabies symptoms include:

 
 
  • Itching, often severe and usually worse at night
  • Thin, irregular burrow tracks made up of tiny blisters or bumps on your skin
 
     
 

Diagnosis

 
 

To diagnose scabies, your doctor examines your skin, looking for signs of mites, including the characteristic burrows. When your doctor locates a mite burrow, he or she may take a scraping from that area of your skin to examine under a microscope. The microscopic examination can determine the presence of mites or their eggs.

 
     
  Treatment  
  Scabies treatment involves eliminating the infestation with medications. Several creams and lotions are available. You usually apply the medication over all your body, from your neck down, and leave the medication on for at least eight hours. Two medications commonly prescribed are permethrin  and crotamiton. Although these medications kill the mites promptly, you may find that the itching doesn't stop entirely for several weeks.

Doctors sometimes prescribe oral medications for people with altered immune systems or for people who don't respond to the prescription lotions and creams.

Because scabies spreads so easily, your doctor may recommend treatment for all family members and other close contacts, even if they show no signs of scabies infestation.
 
 
 

Prevention

   
 

To prevent re-infestation and to prevent the mites from spreading to other people, take these steps:

 
 
  • Clean all clothes and linen. Use hot, soapy water to wash all clothing, towels and bedding you used at least two days before treatment. Dry with high heat. Dry-clean items you can't wash at home.
  • Starve the mites. Consider placing items you can't wash in a sealed plastic bag and leaving it in an out-of-the-way place, such as in your garage, for a couple of weeks. Mites die if they don't eat for a week.
 
   
     
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