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[In case of pruritus, always consider scabies!]
Pontus Jonsson1, Bernt Lindelöf1, Klas Nordlind1
1Karolinska Universitetssjukhuset - Hudkliniken Stockholm, Sweden Karolinska Universitetssjukhuset - Hudkliniken Stockholm, Sweden.
Lakartidningen
|January 3, 2018
Summary
Always consider scabies, a mite-caused skin disease affecting over 100 million globally. It presents as a pruritic rash and requires microscopic identification for diagnosis.
Area of Science:
- Dermatology
- Infectious Diseases
- Public Health
Background:
- Scabies is a neglected tropical disease caused by the mite Sarcoptes scabiei.
- It affects over 100 million people worldwide, posing a significant public health burden.
- Transmission occurs via direct skin-to-skin contact, frequently affecting close contacts.
Purpose of the Study:
- To emphasize the importance of considering scabies in patients with pruritus.
- To review the epidemiology, transmission, clinical presentation, and diagnosis of scabies.
- To discuss current and potential future diagnostic and treatment strategies.
Main Methods:
- Review of existing literature on scabies.
- Discussion of diagnostic methods, including microscopy, serology, and PCR.
- Overview of treatment options, including Tenutex, permethrin, and ivermectin.
Main Results:
- Scabies typically presents as a severely pruritic rash, primarily on extremities and trunk.
- Microscopic identification of mites confirms the diagnosis.
- Newer diagnostic methods like PCR show promise for future application.
Conclusions:
- Scabies is a common cause of pruritus and should be considered in differential diagnoses.
- Effective treatments are available, with Tenutex being a primary choice in Sweden.
- Continued research into diagnostics and management is crucial for public health.
