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Itchy
Skin itching that worsens at night
Redness of the skin
Rashes
The skin is itchy and has scratches
Red skin rash all over the body
Circular/ target-like lesions
Not seeing your symptoms? No worries!
A highly contagious disease caused by Scabies mites. It can be transmitted through skin-to-skin contact or contact with the clothes or furniture of infected individuals.
Your doctor may ask these questions to check for this disease:
Anti-mite lotion and anti-itch tablets can be given. The lotion may need to be applied on the whole body and left for half a day. Since scabies is highly infectious, family members may need treatment, even if they don't have symptoms. Clothes and bedding should be washed in hot water of 50 degrees Celsius and above.
Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Yukiko Ueda, MD (Dermatology)
Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Q.
Scabies Rash? Why Your Skin Is Itching & Medically Approved Next Steps
A.
A scabies rash is a contagious mite infestation that causes intense nighttime itching and small bumps with thin burrows in common sites like finger webs, wrists, waistline, buttocks, nipples or genitals, and in infants also the scalp, face, palms, and soles; it requires prescription therapy such as permethrin 5 percent or oral ivermectin, simultaneous treatment of close contacts, and hot washing or sealing of recent clothing and bedding, and note that itching can persist 2 to 4 weeks after successful treatment. There are several factors to consider. See below to understand more, including look-alike rashes, red flags like spreading redness, pus, fever or crusted scabies, and the exact step-by-step household measures that can shorten recovery and prevent reinfestation.
References:
* Engelman D, Marks M, Steer AC, Salavastru C, Barker R, Bassett A, et al. Scabies: a comprehensive review. Lancet. 2022 Mar 5;399(10328):1014-1025. doi: 10.1016/S0140-6736(21)02752-6. Epub 2022 Feb 21. PMID: 35219385.
* Thomas J, Shinkai K, Sami N. Advances in the diagnosis and management of scabies. Curr Opin Infect Dis. 2023 Apr 1;36(2):100-105. doi: 10.1097/QCO.0000000000000903. Epub 2023 Feb 15. PMID: 36790930.
* Salavastru CM, Chosidow O. Scabies: Clinical aspects and diagnosis. Clin Dermatol. 2017 Jul-Aug;35(4):389-393. doi: 10.1016/j.clindermatol.2017.03.004. PMID: 28778402.
* Engelman D, Fuller C, Steer AC. Scabies treatment guidelines from the International Alliance for the Control of Scabies: A systematic review of treatment recommendations from around the globe. PLoS Negl Trop Dis. 2020 Jan 9;14(1):e0007821. doi: 10.1371/journal.pntd.0007821. eCollection 2020 Jan. PMID: 31917711.
* Wong C, Wong G, Amato D, Amato D, O'Day S. Scabies treatment failure: a review of risk factors and considerations for difficult-to-treat infections. Int J Infect Dis. 2022 Jun;119:150-155. doi: 10.1016/j.ijid.2022.04.018. Epub 2022 Apr 19. PMID: 35452817.
Q.
Skin Crawling? Why Your Body Is Itching and Medically Proven Steps to End Scabies
A.
Scabies is a common cause of intense nighttime itching with a bumpy, burrowed rash, and it is curable with prescription permethrin 5 percent cream or, when needed, oral ivermectin, alongside same-day treatment of close contacts and basic hot-wash cleaning; expect post-scabies itch to last up to 2 to 4 weeks. There are several factors to consider. See below for how to confirm the diagnosis, who in the household needs treatment, exactly how to clean, warning signs like crusted scabies or infection, and when to seek medical care.
References:
* Thomas J, George B, Thomas R, Thomas L. Scabies: A Comprehensive Review. J Clin Aesthet Dermatol. 2022 Jun;15(6):E53-E65. PMID: 35846171.
* Goldust M. Recent advances in the diagnosis and treatment of scabies. Clin Cosmet Investig Dermatol. 2023 Feb 24;16:477-484. doi: 10.2147/CCID.S401732. PMID: 36852033.
* Engel D, Ständer S, Schürmann K, Ring J. Diagnosis and management of scabies: a guideline of the German Society of Dermatology. J Dtsch Dermatol Ges. 2020 Jan;18(1):64-82. doi: 10.1111/ddg.14022. PMID: 31925916.
* Sarkar R, Sanyal S, Chawla B, Patra A. Scabies: An Updated Review. Indian J Dermatol. 2022 Jul-Aug;67(4):353-360. doi: 10.4103/ijd.ijd_56_22. PMID: 36776856.
* Currie BJ, McCarthy JS, Kemp DJ. Topical and systemic treatments for scabies. Cochrane Database Syst Rev. 2020 May 6;5(5):CD000320. doi: 10.1002/14651858.CD000320.pub4. PMID: 32374828.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Tarbox M, Walker K, Tan M. Scabies. JAMA. 2018 Aug 14;320(6):612. doi: 10.1001/jama.2018.7480. PMID: 30120479.
https://jamanetwork.com/journals/jama/fullarticle/2697011Leung AKC, Lam JM, Leong KF. Scabies: A Neglected Global Disease. Curr Pediatr Rev. 2020;16(1):33-42. doi: 10.2174/1573396315666190717114131. PMID: 31544694.
http://www.eurekaselect.com/article/99721Chandler DJ, Fuller LC. A Review of Scabies: An Infestation More than Skin Deep. Dermatology. 2019;235(2):79-90. doi: 10.1159/000495290. Epub 2018 Dec 13. PMID: 30544123.
https://www.karger.com/Article/FullText/495290Sunderkötter C, Wohlrab J, Hamm H. Scabies: Epidemiology, Diagnosis, and Treatment. Dtsch Arztebl Int. 2021 Oct 15;118(41):695-704. doi: 10.3238/arztebl.m2021.0296. PMID: 34615594; PMCID: PMC8743988.
https://www.aerzteblatt.de/int/archive/article/221506Richards RN. Scabies: Diagnostic and Therapeutic Update. J Cutan Med Surg. 2021 Jan-Feb;25(1):95-101. doi: 10.1177/1203475420960446. Epub 2020 Sep 30. PMID: 32998532.
https://journals.sagepub.com/doi/10.1177/1203475420960446