SCABIES
Essentials of Diagnosis
•
It is a contagious disease caused by Sarcoptes
scabiei.
•
Severe itching which becomes worse at night especially
in children.
•
Burrow is an elevated greyish tortuous or dotted
line in the skin.
•
Black spots in inter digital folds, around
nipple, genitalia, buttocks, medial aspects of thighs.
Treatment
All the
family members should be treated at a time.
The
clothes, bed linen, towels should be boiled, ironed and changed frequently.
If
there is secondary infection it should be treated first.
Septran
1 bd × 5 days.
After
proper bath, patient’s body should be allowed to dry and Ascabiol or Benzyl
benzoate 25% solution should be applied from the toe to neck for 3 consecutive
days (12½% in children).
or
Scaboma
lotion 1% or Crotorax ointment or lotion.
or
Sulphur
ointment 10% for adults, 5% for children and 2.5% for infants is to be applied
below neck on 4 consecutive nights.
or
Mitigal,
Dimethyl diphenyl disulphide is used as a 10% solution in liquid paraffin for 3
nights. or
Gamabenzene
hydrochloride used as cream or lotion after bath for 3 days.
Tab
Avil 1 bd × 3 days if itching is more.
