Scabies is a very itchy skin condition caused by scabies mites. Reddish elevations (papules), widespread rashes, scratch marks and sometimes so-called scabies are seen. The skin changes are usually far more widespread than the skin areas where the scabies are found. Typical locations are hands, wrists, abdomen/waist, panty region, thighs and genitalia. In children, skin changes and itching in the face and scalp can also occur.
The condition is caused by scabies mites that dig tunnels and lay eggs just below the skin's surface. This causes a strong itch in the skin caused by an immunological reaction against the mite, the eggs and the mite's faeces.
Infection occurs through close contact over a somewhat longer duration (at least 15 minutes), and to a lesser extent via furniture, clothing, bedding, towels and the like. You still often see outbreaks in households or others who live close to each other.
It takes about 3-6 weeks from the time one is infected before the onset of itching and skin changes.
The treatment consists of comprehensive remediation measures combined with one or two treatment alternatives.
There are two agents for local treatment: Nix cream (permethrin) and Benzylbenzoate liniment. The instructions for use for these must be followed. Partners and people in the same household should be treated at the same time.
Sometimes you don't reach your goal with local treatment, and it may be appropriate to take a course of tablets with ivermectin (an antiparasitic agent).
Despite successful treatment, the itching may persist for up to 4-6 weeks. Cortisone and moisturizers can be used to relieve this itching.
Our dermatologists help people of all ages, from newborns to the elderly, with everything from simple skin changes to serious conditions.
Our dermatologists help people of all ages, from newborns to the elderly, with everything from simple skin changes to serious conditions.
