Scabies

Question 1

Scabies

Answer 1

Mites called Sarcoptes scabiei that burrow under the skin causing infection and intense itching

Question 2

How long can it take for symptoms to appear after initial infestation

Answer 2

8 weeks

Question 3

Presentation of scabies

Answer 3

Incredibly itchy small red spots,

Track marks

Between the finger webs

Question 4

Management of scabies

Answer 4

Permethrin cream to patient and close contacts

Oral ivermectin - single dose for difficult to treat or crusted scabies

Wash bedding, curtains, towels etc.

Chlorphenamine at night - itching

Question 5

How to diagnose scabies

Answer 5

Clinical

Question 6

How to apply permethrin cream

Answer 6

Apply to whole body

Should be left on for 8 - 12 hours

Best to apply after shower

Should be repeated a week later as well

Question 7

When does itching stop in scabies

Answer 7

Itching can continue for up to 4 weeks after successful treatment

Question 8

Crusted Scabies

Answer 8

Serious infestation with scabies in patients that are immunocompromised

Question 9

Presentation of crusted scabies

Answer 9

May not have itch - as no immune response

Scaly plaques often misdiagnosed as psoriasis

Question 10

Management of crusted scabies

Answer 10

Oral ivermectin and isolation