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Scabies is a highly contagious skin condition caused by an infestation of the microscopic mite Sarcoptes scabiei. This condition is defined by intense itching and a rash resulting from the mites burrowing into the upper layer of the skin. The primary cause of scabies is direct skin-to-skin contact with an infected person, though it can also spread through shared clothing, bedding, or towels. The mites lay eggs in the skin, leading to an inflammatory response and severe itching, especially at night. The rash often appears as small, red bumps or blisters, commonly found in areas such as the wrists, elbows, between the fingers, and around the genitals. Treatment for scabies involves the use of prescription topical medications that kill the mites and their eggs. Permethrin cream is a commonly prescribed treatment, applied to the entire body from the neck down and left on for 8-14 hours before being washed off. Other treatments include topical lindane or oral ivermectin in severe cases or when topical treatments are not effective. It is also crucial to treat close contacts and household members simultaneously to prevent reinfestation. Additionally, laundering clothing, bedding, and towels in hot water and drying them on high heat can help eliminate mites and prevent further spread. Itching may persist for a few weeks after treatment due to the skin's continued response to the mites, but symptoms should gradually improve. Consulting with a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan to effectively manage and resolve scabies.
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