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Related Experiment Videos

Scabies in the extended care facility.

L C Parish, L E Millikan, J A Witkowski

    International Journal of Dermatology
    |July 1, 1983
    PubMed
    Summary

    Scabies outbreaks in nursing homes can present with atypical signs, making diagnosis difficult. Prompt treatment with lindane lotion for all residents and staff is crucial for successful scabies eradication.

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    Area of Science:

    • Epidemiology
    • Dermatology
    • Infectious Diseases

    Background:

    • Scabies outbreaks can occur in institutional settings like nursing homes.
    • Atypical clinical presentations can complicate scabies diagnosis.
    • Topical steroids may mask or worsen scabies symptoms.

    Purpose of the Study:

    • To report on scabies outbreaks in nursing homes with obscured diagnoses.
    • To highlight the role of topical steroids in scabies presentation.
    • To evaluate the effectiveness of lindane lotion treatment.

    Main Methods:

    • Case study of three nursing home outbreaks (Missouri and Pennsylvania).
    • Observation of clinical signs and diagnostic challenges.
    • Implementation of lindane lotion treatment protocol.

    Main Results:

    • Scabies diagnosis was challenging due to lack of typical signs.
    • Topical steroid use was noted.
    • Lindane lotion treatment was successful in eradicating scabies.

    Conclusions:

    • Nursing home scabies outbreaks may present atypically.
    • Awareness of atypical signs is important for prompt diagnosis.
    • Comprehensive treatment including all residents and staff is essential for scabies control.

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