Define scabies. Write down the clinical features, Diagnosis, prevention and control of scabies?

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Q. 61. Define scabies. Write down the clinical features, Diagnosis, prevention and control of scabies? 

 Scabies :- Scabies is a contagious disease of the skin caused by the mite sarcoptes scabies. It is characterized by pruritic popular lesions along the burrows containing the mites and their eggs.

 Clinical features of scabies:
1. Pruritus is marked and is most intense after going to ged.
2. Characteristics burrows and papules.
3. Heublar sign : lesion on the figure webs inter digital clefts flexor surface of wrist  elbows, auxiliary, areola of breast (in female) and  on the genital (in male) belt line and buttocks,
4. In infants face may be involved.

 Diagnosis of scabies :-
1. Nocturnal itching
2. Purities popular lesion
3. heublar sign positive
4. Secondary infection leads to crusted pestles.
5. Demonstration of mite under microscope by Scraping the mite out of burrow (confirmatory diagnosis).

 Prevention and control of scabies :
A. Sanitation control:-
1. Improvement of sanitation
2. Improvement of personal hygiene

B. Chemical control (Treatment of scabies pt)
1. Benzyl benzoate (25%) emulsion- Applied to whole body except the face and heal twice daily for three consecutive without any bath. After 7 days this should be repeated.  or
2. Permethrine (5%) application on a single day after taking a good and bath again after 12 hours.