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Scabies

What is Scabies ?
Scabies is a mite infestation of the skin. The scabies mite, also known as the human itch or mange mite, causes intense itching and is contagious.

Causes of Scabies
When a person catches scabies, pregnant female mites dig burrows in the skin and lay eggs along the way. After three to eight days, the eggs hatch and the young mites travel up the burrows to the skin surface. There they grow to adulthood, mate, and produce more pregnant females, which continue the skin infestation. Once a female mite finishes laying her eggs, she spends the rest of her two-month life span at the deep end of her tunnel. Mite tunnels may be visible in the skin of a person who has scabies, although intense scratching often distorts their appearance.

Symptoms of Scabies
Symptoms of scabies include:
  • Intense itching — This itching is often worse at night, and it can involve any part of the skin, not just areas that have rash or nodules
  • • A rash — The scabies rash typically affects the following skin surfaces: the hands, especially webbed skin between the fingers; skin folds at the wrists, knees, elbows, underarms, waist or buttocks; the genitalia; the breasts, especially the dark area around the nipple; and the shoulder blades
  • • Red or brown nodules (larger skin bumps) — In some cases, a person with scabies develops skin nodules rather than a rash. These nodules can be up to 5 millimeters (one-quarter inch) wide and they usually occur on skin that is covered by clothing, such as the trunk and upper legs.


Diagnosis of Scabies
Most often, the diagnosis is made based on skin findings and known exposure or possible exposure to scabies. The doctor looks for bumps between the fingers and toes and for burrows. The doctor also may scrape an area of rash gently to look for the mites or their eggs

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