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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Rash On The Arms And Legs Be Due To Scabies?

Our foster son who is 2 woke up and went to daycare on Thursday with no rash. He had a visit with bio mom and dad and the visit coach noticed a rash on his arms and legs (from wrist to about bicep area and mid calf to mid thigh) upon examination at the dr s office there was also some rash behind his ears. We were told that they had seen a similar rash on mom and suspected scabies and therefor had to take him to be seen by the pediatrician that day. The pediatrician did not feel it was scabies but did feel there was some possibility and called in a 2nd Dr for their opinion as well. In the end they were leaning toward a form of eczema. They said if we saw the rash on anyone else in the household or if it seemed to be worsening to call and they would prescribe medication for all of us. However when I returned home there was a voice message saying that bio mom told them she had been treated for scabies but she was fine now and didn t think she could have given it to the kids. Today the rash seemed less pronounced but it was still in the same areas and also a small amount at the base of his hairline on back of neck. I work at a Dr s office and know that scabies can be tricky to diagnose and get rid of and the fact that the time from exposer to symptoms can be 4-6 weeks really is freaking me out to be honest. All of the above being said he does not have the rash on his hands (between fingers), feet (between toes), arm pits, groin area etc. He does not seem to be driven crazy by any inching, and it is such a large area in such a short time it seems odd. I would love any feed back or thoughts. (Visits with bio parents happen 1/2 x a week for one hour each visit)
Tue, 5 Dec 2017
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Dermatologist 's  Response
Hi.
As per your case history your child is having scabies.
My treatment advice is -
1. Maintain good hygiene and bath twice daily.
2. Apply a 5% permethrin lotion from neck to toe once a week.
3. Take an antihistamine medication like levocetrizine twice daily for itching.

If problem persists then consult a dermatologist.

Thanks.
Dr. Harshit bhachech.
MBBS, DDVL.
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Could The Rash On The Arms And Legs Be Due To Scabies?

Hi. As per your case history your child is having scabies. My treatment advice is - 1. Maintain good hygiene and bath twice daily. 2. Apply a 5% permethrin lotion from neck to toe once a week. 3. Take an antihistamine medication like levocetrizine twice daily for itching. If problem persists then consult a dermatologist. Thanks. Dr. Harshit bhachech. MBBS, DDVL.