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Wednesday, July 8, 2009

scabies sentence outline

I.Scabies is a relatively contagious infection.
1.Etymology
a.Derived from the Latin word scabere which means to scratch.
2.Definitions
a.
Scabies is a highly contagious, erythematous, and intensely pruritic skin condition.
b.The intense itching almost always caused by scabies is due to a reaction within the skin
to the feces of the mite.
II.Scabies types
1.Other than regular scabies, there is only one type of scabies i.e. Norwegian scabies also known as Crusted scabies.
2. Norwegian scabies originated in Norway, attributed to the scabies mite and named as 'Scabies Norvegic Boeckii'
III.Causes
1.Scabies is most common among people who live in overcrowded conditions, and whose ability to practice good hygiene is limited.
2.Scabies can be passed between people by close skin contact.
3.And also caused by the mite called Sarcoptes scabiei.
IV.Signs and symptoms
1.The characteristic symptoms of scabies infection include superficial burrows, intense pruritus (itching), a generalized rash and secondary infection.
2.Acropustulosis, or blisters and pustules on the palms and soles of the feet, are characteristic symptoms of scabies in infants.
V.Diagnosis
1.
Signs and symptoms of early scabies infestation mirror other skin diseases, including dermatitis, syphilis, allergic reactions, and other ectoparasites such as lice and fleas.
2.Generally diagnosis is made by finding burrows - which often may be difficult because they are scarce, and because they are obscured by scratch marks.
3.If burrows are not found in the primary areas known to be affected, the entire skin surface of the body should be examined.
VI.Prevention
1.Treatment of furniture and bedding.
2.Vacuuming floors, carpets, and rugs.
3.Disinfecting floor and bathroom surfaces by mopping.
4.Cleaning the shower/bath tub after each use.
5.Daily washing of recently worn clothes, towels and bedding in hot water, drying in a hot dryer and steam ironing.
VII.Our conclusion
People with compromised immune systems, such as HIV, cancer or transplant patients may be susceptible to crusted or Norwegian scabies. In this case the scabies go unregulated by cytotoxic cells and spread over the whole body, except the face. These cases require additional treatment options for resolution. Ivermectin is a single oral treatment of choice in these patients combined with any other topical treatment.

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