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PATIENTS & PUBLIC

Scabies

What is scabies?
Scabies is where tiny mites go under the skin and cause an itchy rash. Scabies is contagious and affects both kids and adults all over the world. The most common symptom of scabies is itching that is worse at night. As a result, scabies can be difficult to diagnose because itching is common in other skin rashes like eczema.

Scabies can affect any part of the body. The rash can appear as red or violet scaly bumps or patches. The rash is commonly seen on the waistline, wrists, between the fingers, under the arms and in the groin area. In babies and kids, the rash is often seen on the hands and feet. For people with weak immune systems, the rash often appears as thick, white scales or crusts. This is known as crusted scabies.

What is the cause of scabies?
Scabies is caused by a mite.  It can easily be spread by being in close contact with someone who is infested with scabies. Scabies is commonly seen in people living in crowded areas, such as daycares and shelters and it often spreads to family members or caretakers.

How do I know if I have scabies?
A dermatologist (or skin doctor) can diagnose scabies by examining the skin and asking about your symptoms. The doctor may also take samples by scraping off a tiny bit of the skin to examine it under a microscope.

What treatments are available for scabies?
Scabies is treated using topical creams, such as permethrin. In some cases, you might need to take pills (called ivermectin). It is important to treat both the infected person and family members or other close contacts even if they do not have any symptoms. Itching may be a problem for several weeks after treatment, and the doctor may prescribe other medications, such as antihistamines, to help with the itching. Clothes and bedding that were in contact with infected persons should be machine washed and dried at high temperatures to kill the mites.