Page 183 - fourth year book

SKIN DISEASES

Diagnosis: is most commonly made by

1. Looking at the burrows or rash.
2. A skin scraping may be taken to look for mites, eggs, or mite fecal
matter to confirm the diagnosis.

Complications:

 Bacterial infections
 Nephritogenic
 Streptococcus colonize in lesions-acute glomerulonephritis.

 Eczema in a topics
 Acrophobia
Treatment

 Application of scabicide over entire body below head:
o 5% permethrin cream (wash after 8-14 hrs)
o 1% lindane cream (wash after 8-12 hrs)
o Benzyl benzoate 25% applied below chin (wash after 12 hrs)
 Ivermectin single dose orally

 In 5% of cases, 2nd treatment may be necessary after 7-10 days.

Applying Prescribed Creams

 Apply thin layer over whole body from neck down, paying
particular attention to folds in skin
 Trim fingernails and toenails, apply under nails
 Reapply after hand washing
 Leave on for the recommended time of the product

 Bathing with warm, soapy water and hard sponge then dry the
skin

Other Scabies Treatment
 Antibacterial topical
o Neosporin, Bactroban
 Anti-inflammatory topical
o Hydrocortisone (Cortaid, Westcort)
 Anti-histamines (Oral)

o Benadryl, Atarax, Periactin

Health teaching:

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