Ver el código de «Scabies»

==Background==
{{Skin anatomy background images}}
*Infestation with the ''Sarcoptes scabiei'' mite
*4-6 week incubation period after initial exposure
**Those previously infected, symptoms begin in 1-3 days (sensitization)
**Type IV hypersensitivity
*Not a reflection of poor hygiene

==Clinical Features==
[[File:PMC3346911 ad-24-194-g002.png|thumb|Traditional infantile scabies.]]
[[File:PMC3346911 ad-24-194-g001.png|thumb|10-X magnification showing numerous scabies heads (arrows).]]
[[File:ScabiesD08.JPG|thumb|Scabies]]
[[File:Scabies-burrow.jpg|thumb|Scabies burrow at high resolution]]
[[File:Norwegian_scabies.png|thumb|Diffuse, hyperkeratotic, yellowish papules seen in Norwegian Scabies]]
''Seek history of symptomatic close contacts (human or animal)''

===Infants===
*Hyperpigmented [[pediatric rashes|nodules]], vesiculopustules, papules may be found in axilla and diaper areas
*May be generalized

===Older children / adults===
*Generalized eruption with linear burrows, papules, pustules
*Predominance in web spaces of the fingers, flexor aspect of the wrists, axillae, groin, nipples, and the periumbilical region
*[[Pruritus]] is classically worse at night

===Norwegian Scabies===
*In immunocompromised
*Severe disease with diffuse scabies
*Requires multiple treatments

==Differential Diagnosis==
*[[Envenomations, bites and stings|Insect bites]]
*[[Impetigo]]
*[[Atopic dermatitis]]
*[[Drug rash]]
*[[Dermatitis herpetiformis]]

{{Ectoparasite DDX}}
{{Travel Skin Conditions DDX}}
{{Maculopapular rash DDX}}

==Evaluation==
*Clinical diagnosis, based on history and physical exam

==Management==
===General Care===
*Wash all linens/clothes in hot water or bag bulky items and keep sealed for 2wks
*Pruritus may continue for weeks despite successful elimination of infestation
**Consider steroids for symptom relief

{{Scabies treatment}}

===Avoid===
*'''[[Lindane]]''' - effective treatment but associated with potential for toxic manifestations (seizures, neurotoxicity)
**Reserved for refractory cases

==Disposition==
*Discharge

==See Also==
*[[General approach to rashes]]

==External Links==
*[https://pubmed.ncbi.nlm.nih.gov/16731272/ Heukelbach J, Feldmeier H. Scabies. Lancet. 2006 May 27;367(9524):1767-74. doi: 10.1016/S0140-6736(06)68772-2. PMID: 16731272. Accessed 13 Jan 2021]

==References==
<references/>

[[Category:Dermatology]]
[[Category:Pediatrics]]
[[Category:ID]]