Therefore, avoid using it for young children and infants, pregnant or lactating women, and people with diseases affecting the nerves (neurological diseases). Apply to the body, rinse in 8 hours, and repeat in 7 days. Lindane 1% solution – Lindane can be toxic to the nervous system.Unfortunately, it is greasy, has an odor, and can stain clothing. This is often the best choice for children aged younger than 2 years and for pregnant and lactating women because it is very safe to use. Precipitated sulfur (5% or 10%) – This is prepared with petroleum jelly and is applied nightly for 3 consecutive nights.Crotamiton 10% lotion or cream (Eurax®, Crotan®) – This is not as effective as permethrin and can be irritating to the skin. Apply once daily for 5 consecutive days.Permethrin 5% cream (Elimite®) – This is the first choice for treatment because it is very effective and safe. It is safe even for children and pregnant women. Rinse the cream off after 8–14 hours, and repeat in 7 days to kill recently hatched larvae.In most cases of scabies, your doctor will prescribe a medicated cream or lotion to kill the infestation, such as: Your doctor may also diagnose scabies by gently scraping some skin onto a slide and looking with a microscope for mites, eggs, or mite feces. Your physician may be able to diagnose scabies simply by examining your skin for typical lesions, such as burrows. Interestingly, these infestations may not be itchy, although the lesions may contain up to two million mites. The lesions are widespread, appearing over the scalp, face, elbows, knees, palms, and soles of the feet. In people with Norwegian/crusted scabies, the skin is covered with thick, white scales and crusts. People who are physically and/or mentally impaired or disabled.
Individuals with weakened immune systems (such as organ transplant recipients or people with HIV/AIDS).Excessive scratching of the itchy lesions can create breaks in the skin, which may then become infected with bacteria.Ī severe form of scabies, called Norwegian scabies or crusted scabies, is seen in: Scabies is intensely itchy, especially at night. However, individuals who have had scabies before may develop the rash within several days of re-exposure. People who are exposed to scabies may not develop itchy lesions for up to 6 weeks after becoming infested, as the immune system takes some time to develop an allergic response to the mites. Typically, a burrow appears as a small, thread-like, scaly line (3–10 mm long), sometimes with a tiny black speck (the burrowing mite) at one end. The adult mite is about 0.3 mm long and is very difficult to see. Scabies mites crawl they do not jump or fly. However, the tell-tale lesion of scabies is the burrow, which is small and often difficult to see. The most obvious signs of scabies are pink-to-red bumps, which can look like pimples or bug bites, sometimes with scale or a scab on them. Breasts of females and genitalia of malesĪlthough in adults it is rare to see lesions on the face, scalp, and neck, these areas are commonly affected in children aged younger than 2 years.Inner wrists, inner elbows, and armpits.The areas between the fingers (finger webs).Although the entire body may itch, the most common locations for the lesions of scabies include:
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