Scabies

SCABIES done by sudha 07-Oct-06

HUMAN SCABIES SARCOPTES SCABEI VAR HUMANUS OR ACARUS SCABEI DISCOVERED IN 1687 AFFECTS BOTH SEX,ANY AGE SPREADS BY SKIN TO SKIN CONTACT (NOT CASUAL CONTACT) SEXUAL TRANSMISSION THE FEMALE MITE BURROWS INTO THE EPIDERMIS WHERE IT BREEDS AND CAUSES ITCH. 07-Oct-06

STATISTICS INCIDENCE OF SCABIES VARIES BETWEEN 5.1-22.4%. STUDY CONDUCTED IN JIPMERSCABIES CONTRIBUTES 14.2% OF CASES AMONG ALL PAEDIATRIC DERMATOLOGIC DISEASES.

07-Oct-06

CLASSIC SCABIES PRESENTS AS NOCTURNAL ITCHING BILATERAL LESIONS SMALL ERYTHEMATOUS,EXCORIATED PAPULES PATHOGNOMIC BURROWSSHORT,WAVY,DIRTY APPEARING LINE. 07-Oct-06

– SEEN IN FINGER WEBS,AXILLA,WRIST,ELBOW, AREOLA,UMBILICUS,GENITALIA, BUTTOCK. – SECONDARY ECZEMATIZATION IS USUAL.

07-Oct-06

Hand scabies

07-Oct-06

Scabies abdomen

07-Oct-06

Whole body

07-Oct-06

Scabies burrow-finger web

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Burrow- sole

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Genital scabies

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Breast scabies

07-Oct-06

SPECIAL FORMS:SCABIES INCOGNITO DUE TO USAGE OF STEROID MASKS FEATURES BUT TRANSMISSION OCCURS ATYPICAL AND WIDE DISTRIBUTION.

07-Oct-06

NODULAR SCABIES RED BROWN PRURITIC NODULES ON COVERED PARTSGENITAL,AXILLA HYPERSENSITIVITY REACTION TO RETAINED MITES

07-Oct-06

IN INFANTS AND CHILDREN PRESENTS AS PRURITIC,GENERALISED,ON FACE,SCALP,PALMS,SOLES PAPULES,VESICULO PUSTULES. BURROWS DIFFICULT TO FIND IN <2 YRS. MISDIAGNOSIS CAN OCCUR D/D 07-Oct-06

In children

07-Oct-06

In children

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infective eczema

07-Oct-06

CRUSTED/NORWEGIAN SCABIES: VERY CONTAGIOUS BECAUSE OF INCREASED NO. OF MITES. IN HANDS AND FEET DYSTROPHY OF NAILS ITCHING MINIMAL MR,IMMUNODEFICINCY,LEUKEMIA

07-Oct-06

Crusted scabies

07-Oct-06

IN HIV: 2- 4% OF AIDS PATIENTS HAVE. PRESENTS AS CRUSTED/ATYPICAL PAPULAR SCABIES CAN PROGRESS TO BACTERIAEMIA

07-Oct-06

DIAGNOSIS BY MICROSCOPIC IDENTIFICATION OF MITES,EGGS,FAECAL MATTER

07-Oct-06

SKIN SCRAPINGS SCRAPINGS ARE EXAMINED UNDER LOW POWER

07-Oct-06

Itch mite

07-Oct-06

In crusted scabies

07-Oct-06

CURRETTAGE LONG AXIS OF BURROWS ARE CURRETTED AND EXAMINED UNDER LOW POWER USEFUL IN INFANTS,SMALL CHILDREN,ANXIOUS,HIV PATIENTS.

07-Oct-06

COMPLICATIONS: BACTERIAL INFECTIONS NEPHRITOGENIC STREPTOCOCCUS COLONIZE IN LESIONS-ACUTE GN. ECZEMA IN ATOPICS ACAROPHOBIA

07-Oct-06

TREATMENT SHOWER AND DRY APPLIED THINLY FROM NECK LEFT FOR 10 HRS RINSED WASH CLOTHES TREAT FAMILY MEMBERS

07-Oct-06

5%PERMETHRIN CREAM DRUG OF CHOICE LEFT FOR10 HRS LOW TOXIC C/I IN <2 MONTHS INFANTS,PREG,LACTATING

07-Oct-06

BENZYL BENZOATE 25% APPLIED BELOW CHIN LEFT FOR 12 HRS. REPEATED AFTER 12 HRS WASHED AFTER 12 HRS NOT MORE THAN 2 APPLICATIONS BECAUSE IRRITANT DERMATITIS CAN OCCUR.

07-Oct-06

1% LINDANE (GAMMA-HCH) WITH COCONUT OIL AND LEFT FOR 8 HRS. APPLIED AGAIN AFTER 3 DAYS. TOXIC-CNS C/I:CNS DISEASES

07-Oct-06

TETMOSOL 5 % SOLUTION. 3 DAYS APLLICATION.

07-Oct-06

PPTD 6% SULFUR IN PETROLATUM IN INFANTS,PREG,LACTATING WOMAN LESS TOXIC APPLIED FOR 4 DAYS. CHEAP REMEDY.

07-Oct-06

CROTAMITON NOT EFFECTIVE

07-Oct-06

OTHERS ANTIPRURITIC ANTIBIOTICS

07-Oct-06

CRUSTED SCABIES PERMETHRIN FOLLOWED BY LINDANE & SULPHUR PRE TREATMENT WITH KERATOLYTICS PERMETHRIN CAN BE REPEATED PROPHYLACTIC ANTIBIOTIC

07-Oct-06

STUDIES ORAL IVERMECTIN Vs TOPICAL PERMETHRIN PERMETHRIN BETTER CURE

07-Oct-06

USE OF IVERMECTIN IN A OUTBREAK IN A PRISON PROVED TO BE EFFECTIVE GOOD COMPLIANCE

07-Oct-06

IN CRUSTED SCABIES IVERMECTIN /BBE/IVERMECTIN+BBE BEST IS BBE+IVERMECTIN

07-Oct-06

REFERENCES DERMATOLOGY IN GENERAL MEDICINE-FITZPATRICKS ANDREWS DISEASES OF SKIN DERMATLAS.MED.JHMI.EDU PARK TEXTBOOK OF COMMUNITY MEDICINE

07-Oct-06