Scabies

Very low urgency
Common-

It is an infestation of the upper layer of the skin caused by a parasite called Sarcoptes scabiei.

It is usually spread between people who live together and/or have intimate contact, or through contact with sheets and/or mattresses infested by this parasite.

The incubation time from infection to onset of symptoms is 6 to 8 weeks. It manifests with intense itching of the skin (usually nocturnal), rash, small grayish-white grooves of a few millimeters (acarine grooves) between the fingers, wrists and / or ankles and after a few days lesions by scratching because of the intense itching.

Diagnosis is made by clinical history and physical examination.

Treatment consists of removing the mite from the skin and relieving the intense itching. The mite is eliminated with antiparasitic creams or ointments, and the itching is controlled by antihistamine drugs and/or topical corticosteroids. To eradicate the parasite, it is important that all family members or exposed persons with symptoms are treated and that bed linen and towels are thoroughly cleaned with hot water.

Bibliographic references
  1. Romani L, Steer AC, Whitfeld MJ, Kaldor JM. Prevalence of scabies and impetigo worldwide: a systematic review. Lancet Infect Dis 2015; 15:960.
  2. Fuller LC. Epidemiology of scabies. Curr Opin Infect Dis 2013; 26:123.
  3. Heukelbach J, Feldmeier H. Scabies. Lancet 2006; 367:1767.
  4. Currie BJ, McCarthy JS. Permethrin and ivermectin for scabies. N Engl J Med 2010; 362:717.
  5. Johnston G, Sladden M. Scabies: diagnosis and treatment. BMJ 2005; 331:619.
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Whitish lines in between the fingers, toes, ankles and/or wrists


    Itchy skin


    Itchy skin at night


    Intense itch in palms of hands, soles of feet and/or scalp


    Skin injuries due to scratching

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Scabs on the majority of the lesions
Reddish sores that itch, break open and ooze clear fluid or pus
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Wash clothes and sheets in hot water.
Take antihistamines for itching.
Store clothes that cannot be washed in bags for a week to kill mites.