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Presented by : Dermatology and Parasitology Departments

A previously imprisoned, 30 years old male patient has been released from jail since two weeks. He developed severe night itching, resulting in extensive scratching till bleeding specially in the inter-digital spaces, peri-umbilical and medial aspect of the thighs.

Examination revealed the following lesions: Multiple linear scratch marks Papules Pustules

Lesions were distributed in the following areas: The web space between the fingers Peri-umbilical region Anterior axillary fold Medial aspect of the thigh

What is the probable diagnosis?

What is scabies?

What is Sarcoptes scabiei ?

What is the life cycle of Sarcoptes scabiei mite ?

What is the mode of transmission of infection?

In what special situations could scabies spread?

What are the usual sites of infestation with Sarcopetes scabeii mite?

How are skin tunnels formed?

When does itching occur?

Why does itching occur? (Factors reponsible for itching)

What is the most common complication?

If pus was seen oozing from the previous lesion, what is the most common complication that may occur?

What are the most common organisms to be involved ?

Describe

the main lines of laboratory diagnosis of these organisms?

How can you reach a proper diagnosis?

How can this case be managed?

How could we prevent re-infection or cross contamination?

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