"At first, it was just an itch in the seams of my hands, a few small blisters, and I couldn't help but scratch it, and I didn't pay special attention to it. Later, my groin and abdomen were also very itchy, and I couldn't sleep at night because of the itching, and I couldn't stand it." After a series of examinations of the whole body, it was found that the patient was covered with small light red bumps not only on the seams of the hands, thighs, and lower abdomen, but also on the private parts.
This is scabies, an infectious skin disease transmitted by contact with scabies mites, most commonly found on the skin between the fingers, flexor side and abdomen. If a woman has scabies, itchy pimples and blisters may be seen on the skin between the fingers, flexor side, and breasts, and the itching sensation will be more intense at night.
What is Scabies?
Many friends may have heard of mites, and I believe everyone is familiar with the advertisements of large and small mite removal instruments on the market, but how much do you know about the culprit of this itchy - scabies?
Scabies, also known as scabies, scabies, scabies, etc., is an infectious skin disease caused by scabies (scabies mites). Scabies can be transmitted through close contact with the sick person (e.g., sexual contact or shaking hands) or indirectly through the bedsheets, clothing, towels, etc. used by the sick person.
Scabies mites invade the thin and tender part of the skin and cause lesions by digging tunnels to skin damage, mechanical stimulation and toxic effects of secretions or metabolites. What's even more terrifying is that the scabies can survive for 2 to 3 days after leaving the human body!
How can I tell if I have scabies?
The first is the location: scabies mainly occurs between the fingers, flexor side of the wrist, lower abdomen, groin and private parts; Also common in cubital fossa, axilla, and under the breast; Rarely occurs in adults except in children.
Presentation of the affected area and condition
Then there are the main symptoms:
● Color: Scabies lesions are miliary size scattered in papules and papules, papules and papules, pale red or dark red.
● Scabies tunnels: Because scabies moves forward by digging tunnels to absorb nutrients, it is unique to scabies, and the blind end is where scabies is located.
● Scabies nodules: Formed by repeated scratching over time, the damage is easy to occur in the scrotum, glans, penile foreskin and labia majora, which is dark red and elastic to the touch.
Sensation after illness: self-perceived itching, mostly intense, most obvious at night; Scabies nodules are itchy and often paroxysmal.
Finally, there are the complications present:
The itching and pain is extremely unbearable, but scratching scabies can easily lead to scratches, scabs and erosions and other eczema-like lesions, and in severe cases, secondary bacterial infections can cause folliculitis, impetigo, boils and other lesions, and cause proximal lymphadenopathy, fever and other general discomfort, and bacterial infections in children can induce nephritis and other diseases.
Therefore, it is recommended that patients with the above conditions should seek medical attention in a timely manner, and at the same time, due to the contagious nature of scabies, close contact with others should be avoided in time.
How it's treated
Dermatology treatment method recommended!
● Common treatments:
【General Treatment】
Patients should be appropriately isolated to prevent infection. Used clothes and other items should be scalded with hot water and boiled for sterilization, and those that cannot be scalded should be placed in a dry place after washing for a few days before use. Avoid scratching and hot water on the itchy area to prevent aggravation of the condition.
【Internal drug therapy】
Patients with severe itching are treated with oral antihistamines, and patients with secondary bacterial infections are treated with antibiotics.
【Topical drug therapy】
Topical drug therapy is the mainstay of treatment for scabies. You can choose 10% sulfur ointment (5% for children) and 1% propylene 666 ointment (cream), and apply it all over the body from the neck down. The drug has strong insecticidal power, no odor, and is easy to use. However, it is toxic and should not be used in children under 12 years of age and pregnant women. If you have a bacterial infection or eczema-like changes, you should treat with topical drugs before using the above drugs.
【Scabies nodules treatment】
In addition to the above treatments, cryotherapy with liquid nitrogen or intranodular injection of triamcinolone acetonide can also be used. If a single nodule does not respond to the above treatments, laser treatment and surgical excision can be performed.
● Dermatology Recommended Treatments:
(1) Rinse your body with hot water that your body can withstand for 3 minutes, wipe your whole body with soap (sulfur soap) for 3 minutes, rinse with hot water for another 3 minutes, and dry your whole body. 10% sulfur ointment + hydrocortisone butyrate ointment mix 1:1 and apply all over the body from the neck down.
1 time a day for 1 week.
(2) Use the method of traditional Chinese medicine to rinse, use 30g of Sophora sophora, Sichuan pepper, Cnidium monnieri, Baibu and sulfur, decoction and wash the whole body.
prevention and cure
Preventing scabies from happening is key!
● Pay attention to personal hygiene, three diligences: frequent bathing, frequent change of clothes, frequent drying of clothes and quilts;
● Prevention of infection in domestic animals;
● Do not shake hands or have close contact with the patient, and do not sleep in the same bedding;
● Patients who have used underwear and bed sheets should be properly disposed of;
● Scabies infection should be treated promptly.