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INTRODUCTION

Scabies the itch, gudig, budukan, dan gatal agogo

parasitic infection
caused by the mite
Sarcoptes scabiei var
hominis, arthropod of
the order Acarina .
1687 the etiology
of scabies was first
identified by Benomo

The1th Scabies can attack the


timemodern whole world, all age
dermatologyst (Von groups, races and all
Hebra socioeconomic levels.

SCABIES

the prevalence of scabies varies, in some developing


countries, 4% - 100% in the general population
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Syailindra dan
Mutiara Depkes RI (2008) the prevalence of scabies
jurnal
Mayority 5,6%-12,95% , 3rd of 12 common skin diseases

Poor economical conditions, and lack of proper


hygiene are risk factors
DEFINITION
Scabiesparasitic infection caused by the mite
Sarcoptes scabiei var hominis, arthropod of the order
Acarina.

EPIDEMIOLOGY
Scabies everyone at all ages, races, and all
socioeconomic levels.
300 million cases/year world wide 3rd of 12
Depkes RI,2008 5,6%-12,9% common
skin
diseases
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Low social
economy

Rantasari &
Sungkar (2014)
missed Predisposition M>F
poor hygiene
diagnosis,,etc factors Khobir M>F
Inggris &
Edinburgh M<F,
>11-20yo.

Promiscuity
sexual
relationships
Etiology and Pathogenesis

Scabies Sarcoptes scabiei


var hominis, arthropod of
the order Acarina

Oval, 0,4 x 0,3 mm, males


smaller than female.
can survive off the human
host for 3 days.
Cant fly or jump.

There are four pairs of short legs; the anterior two pairs & the
posterior two pairs of legs .
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Clinical Features
Nocturnal
pruritus,

Scabies attacks
groups of people
4 Cardinal Signs
Appearance Of Visible
Tunnel In Whitish To
Greyish Colour
The diagnosis
when two
over four
Finding mites in the skin cardinal
through microscopic signs are
examination found
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Figure. Kind s of lesion of scabies


Diagnosis

medical
history
physical
examination

Other
examination

Scabies
BIT Zigzag line
Diferential Diagnosis

Prurigo

The DDof scabies


includes almost all
DD dermatoses with
pruritus
complaints, ie
atopic dermatitis,
contact "the greatest
dermatitis,
prurigo,etc imitators"
Mandi dengan air hangat dan keringkan badan
Hindari menyentuh mulut dan mata dengan tangan

Treatmen
Ganti pakaian, handuk, seprei yang digunakan

Treatment

Non
Medicamentosa
medicamentosa
Treatmen
Prevention

People who have close


contact with the patient
SHOULD be treated
HOW TO with topical scabicides
PREVENT
???? To prevent the reinfection bed
sheets, pillows, towels and
clothing used in the last 5 days
SHOULD BE WASHED and
DRIED WITH HOT AIR
Prognosis