Scabies
Caused by the Mite - Sarcoptes Scabiei.
SX â Intense Pruritus.
PE â
Fingers (Burrows in finger webs & sides of fingers, excoriations, vesicles, papules).
Wrists (Flexor aspects of the wrists).
Scrotum / Penis (pruritic papules).
Next Steps
DX â CBC (Eosinophilia). Exam of Skin w/ magnifying glass, mineral oil over lesion, scrape w/ #15 blade, examine under microscope.
Health Tips
TX â ⢠Hydroxyzine 25 mg Q6hrs PRN. Permethrin 5% cream QD x 7 days, then 2x week until cured. Ivermectin 200 mcg/kg PO x 1 on days 1, 2, 8, 9, 15. 1% Lindane cream/lotion. Prevention ⢠Avoid contact, wash all clothes in hot water.