It has a very characteristic look under the scope!
There are 3 ways to identify a likely scabies infestation on a prep. Which one of the following isn't one of them?
✅Scabies is an infestation of the mite on human skin.
✅A mineral oil prep can confirm the diagnosis.
✅Distribution is helpful, but primary lesion is most important. It tends to spare the scalp.
✅Look for a burrow that ends in a black dot!
To be honest, if I'm even thinking it, I may just treat!
Alternatively, ivermectin PO can also be used (also repeated).
Oh, and you can get a post-scabetic itch. That means even after adequate treatment, you can still be itchy!
Although a bit old, this article is a nice reference.
✅Think about the Scabes with tight living quarters, or immunosuppression.
✅Treatment is permethrin or ivermectin; combined for crusted scabies.
✅Risk of transmission is low with casual, unless crusted scabies.
✅Post scabetic itch can linger!