Scabies( Kudis Buta)

Scabies (Kudis Buta)

Organism : Sarcoptes scabei

Transmission : 

• skin-to-skin contact, 
  
• sharing of clothes, 
  
• sharing of towels etc
  

( usually occurs in crowded areas and especially in boarding schools)

Symptoms:

• pimple like irritations,burrows or rash of the skin ,especially the webbing between the fingers , the skin folds on the wrist, elbow or knee, penis , breast and or shoulder blades
• intense itching 
• sores on the body caused by scratching . It may get infected with bacteria

Investigations:

• Skin scrapping : preferably from primary lesions
• Burrow ink test
• Topical tetracycline solution : examine under Wood`s light

Treatment: 

• Scabicides : permethrin ; apply from chin to toes and under fingernails and toenails, rinse off in shower 12 hour later, repeat in 1 week
• Scabicides : lindane : apply from chin to toes and under fingernails and toenails , rinse off in shower 10 hour later, repeat in 1 week.
• all family members and close contacts must be evaluated and treated,even if they do not have symptoms
• Patient to wash their clothes,bed lines and towels in hot water the day after treatment is initiated and again in 1 week.