Skip to main content

Scabies

Kaelen C. Dunican, PharmD and Brandi Hoag, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A contagious parasitic infection of the skin caused by the mite Sarcoptes scabiei, var. hominis

  • System(s) affected: skin/exocrine

  • Synonym(s): sarcoptic mange

EPIDEMIOLOGY

Incidence

Predom...

DIAGNOSIS

HISTORY

  • Generalized itching is often severe and worse at night.

  • Determine any contact with infected individuals.

  • Initial infection may be asymptomatic.

  • Symptoms may develop after 3 to 6 weeks.

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

  • Treat all intimate contacts and close household and family members.

  • Wash all clothing, bed linens, and towels in hot (60°C) water and dry in hot dryer.

  • Personal items that cann...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Recheck patient at weekly intervals only if rash or itching persists. Scrape new lesions and retreat if mites or products are found. 

PATIENT EDUCATION

REFERENCES

1
Romani L, Steer AC, Whitfeld MJ, et al. Prevalence of scabies and impetigo worldwide: a systematic review. Lancet Infect Dis.  2015;15(8):960–967. [View Abstract on OvidMedline]
2
Gunn...

SEE ALSO

Arthropod Bites and Stings; Pediculosis (Lice) 

CODES

ICD10

B86 Scabies 

ICD9

133.0 Scabies 

SNOMED

  • 128869009 Infestation by Sarcoptes scabiei var hominis (disorder)

  • 128870005 Crusted scabies (disorder)

CLINICAL PEARLS

  • Prior to diagnosis, use of a topical steroid to treat pruritic symptoms may mask symptoms and is termed scabies incognito.

  • Environmental control is recommended. All linens, towels, and ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×