Understanding Scabies: Symptoms, Causes and Treatment

Scabies is a highly contagious skin condition caused by Sarcoptes scabiei, a microscopic mite that burrows into the skin and triggers intense itching and a rash. Early identification and the right scabies treatment are key to stopping it from spreading.

Symptoms of Scabies

• Intense itching — often worse at night, when mites are most active.
• Rash — small, red, pimple-like bumps or blisters.
• Burrow marks — thin, wavy lines tracing the mites' path under the skin.
• Secondary infections — scratching can lead to bacterial infections such as impetigo.

Dermatologist-Recommended Treatments

Permethrin cream is the usual first-line treatment — applied from the neck down, left on for 8–12 hours, then washed off, and repeated after 7 days if needed. Oral ivermectin is an effective alternative when topical treatment fails or in large-group outbreaks. Antihistamines can ease the intense itching during treatment, and medicated skin treatments may help if a secondary infection develops.

Preventing Reinfection

• Treat all close contacts at the same time, even those without symptoms.
• Wash all bedding, clothing, and towels in hot water.
• Avoid skin-to-skin contact until treatment is complete.
• Once cleared, soothe dry, itchy skin with a gentle moisturiser suited to sensitive skin.

Conclusion

Scabies can be distressing, but with prompt treatment and good hygiene it is entirely manageable. If you suspect scabies, consult a dermatologist for a tailored plan — book at Skin Clinic, Lahore.