Scabies New
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Transcript of Scabies New
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SCABIES
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INTRODUCTIONScabies is a skin infection which caused by infestation and sensitization of Sarcoptes scabiei var. homonis
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EPIDEMIOLOGYAll ageAll racesAll socioeconomic groupMen = women
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ETIOLOGYSarcoptes scabiei var. homonis
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Life Cycle Of Sarcoptes scabiei
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CLINICAL FINDINGSPrimary lesions:vesicle, papule, burrows
Secondary lesions:Usually caused by secondary infection or the result of scratching Excoriation, eczema, nodule, crust, hyperpigmentation post-inflammation
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CLINICAL FINDINGSNocturnal pruriticFind the burrows on the skinFind the mites in the burrows
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DISTRIBUTIONFinger websWristExtensor surfaces of the elbow and kneeSide of the hand and feetAxilarry areaButtocksWaist areaPenis and scrotumBreast
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PREDILECTION OF SCABIES
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CLINICAL FEATURESClassic scabiesSpecial form scabiesScabies on the child and infantNodular scabiesCrusted scabiesScabies incognito
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Crust scabies on footexcoriate and papular scabies in male genitalia
scabies in an infant
Scabies on finger
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DIAGNOSIS Cardinal signs:Nocturnal pruriticSpread in family members or groupFind the burrows on the skinFind the mites in the burrows
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A typical linear burrow on the flexor forearm
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ADDITIONAL EXAMINATIONSkin scrappingBurrow ink testTetracycline testSkin biopsy
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DIFFERENTIAL DIAGNOSISAtopic dermatitisPyodermaPrurigoPsoriasis
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TREATMENTPrinciple:Keep cleaning clothing, towel, bedlinens should be washed All member of affected household should receive treatment
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TREATMENTTopical therapy:PermetrinLindaneSulfurBenzyl benzoat Systemic therapyIvermectin
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PROGNOSISThe prognosis of this patient is good with correct treatment.
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CONCLUSIONScabies is a transmissible ectoparasite skin infection characterizied by superficial burrow, intense pruritus and secondary infection. It give good prognosis by the correct treatment
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