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Suggest Treatment For Scabies And Itchy Lesions

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Posted on Mon, 2 Nov 2015
Question:
Suggest treatment for scabies and itchy lesions
doctor
Answered by Dr. Tushar Kanti Biswas (6 hours later)
Brief Answer:
Suspected scabies

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
The skin lesions (superficial, papulo-vesicular ,at places dried up & excoriated ) look like scabies. Do you have itching,particularly when you are in bed?
To confirm ,one can look for burrows, unroof it with a
sterile needle or scalpel blade, and the scrapings should be examined
microscopically for mites, eggs, and fecal pellets.That can be done by dermatologist.
Permethrin cream (5%) is effective against scabies but tolerance issue might be there.
Ivermectin - a single oral dose (200 μg/kg) is also effective in otherwise healthy
persons; patients may require two doses separated
by an interval of 1–2 weeks. All FDA-approved scabicides are however
available only by prescription.





Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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Suggest Treatment For Scabies And Itchy Lesions

Brief Answer: Suspected scabies Detailed Answer: Hi, Thank you for your query. I can understand your concerns. The skin lesions (superficial, papulo-vesicular ,at places dried up & excoriated ) look like scabies. Do you have itching,particularly when you are in bed? To confirm ,one can look for burrows, unroof it with a sterile needle or scalpel blade, and the scrapings should be examined microscopically for mites, eggs, and fecal pellets.That can be done by dermatologist. Permethrin cream (5%) is effective against scabies but tolerance issue might be there. Ivermectin - a single oral dose (200 μg/kg) is also effective in otherwise healthy persons; patients may require two doses separated by an interval of 1–2 weeks. All FDA-approved scabicides are however available only by prescription. Regards Dr. T.K. Biswas M.D. XXXXXXX