1. Presented by Dr Arpan Kumar Basak

2. Culprit mite

3. 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.

4. 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.

5. Mode of transmission
 direct : skin to skin contact
indirect:clothings,beddings,towels. etc

6. Clinical feature
1. Intense itching at night.but at day time it is tolarlable
but persistant.
2. Other members of the family may be affected

7. diagnosis
 Clinical feature & direct visualisation of mite ,eggs or
feces under microscope(scraping materials from
burrow)

8. complications
 1.secondary bacterial infection 2.eczematisation
3.AGN 4. exfoliative dermatitis 5 urticaria 6.
acarophobia

9. 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)

10. Thank you