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    scabies scabies Presentation Transcript

    • Presented by Dr Arpan Kumar Basak
    • Culprit mite
    • Definition Scabies is a pruritic , contagious disease of the skin caused by mite,sarcoptes scabii var. hominis clinically c harcterised by papulovesicular lesion at the typical sites and charecteristic burrow.
    • Common sites Fingerwaves,flexors of the wrist,medial border of the forearm,anticubital fossa,axilla,nipple &areola(female) ,periumbilical region,anterior and medial aspect of thigh,genitalia(male).buttock.
    • Mode of transmission direct : skin to skin contact indirect:clothings,beddings,towels. etc
    • Clinical feature1. Intense itching at night.but at day time it is tolarlable but persistant. 2. Other members of the family may be affected
    • diagnosis  Clinical feature & direct visualisation of mite ,eggs or feces under microscope(scraping materials from burrow)
    • complications 1.secondary bacterial infection 2.eczematisation 3.AGN 4. exfoliative dermatitis 5 urticaria 6. acarophobia
    • treatment If complication present.treat the complication first. Antihistamines scabicidal drugs:1)topical 2)systemic topicals: 1)5% permethrin 2)25% benzyl benzoate 3)25%monosulfirum 4)1% gamma benzene hexachloride5)10% crotamiton systemic : Ivermectin (200micro gm /kg body wt single dose)
    • Thank you