Zoe

Yichang Central People’s Hospital


My name is Ji jun, and graduated from QingHai
University ,the school is located in QingHai Province
，
there is a beautiful QingHai Lake 。 Everyone can loo
k at the picture below.
1.To understand the concept etiology of scabies and
paederus dermatitis.
2.To master the treatment of scabies and paederus
dermatitis.
3.To be familiar with clinical manifestation of scabies
and paederus dermatitis.
 1 . Scabies

 2 . Paederus Dermatitis
 Scabies is a contagious dermatosis caused by Sarcoptes
scabiei,and is characterized by pruritic papules,,and nodules.
1.From this photo ,we can see hunman Sarcoptes scabiei,What
does it look like?
2. Scabiei is highly contagious and easily spreads at home or in
school.
3.This anmial can survive for only 2 to 3 days after leaving the
host.
This is the bad mite
 Clinical Manifestations
• 1.AS we know , every skin disease has its own
characteristics.In this disase ,we should know the
mite love the wrinkled part of the skin,such as
interdigital webs,the
buttocks,abdomen,genitalia,and so on .
• 2.The scalp and face of adults are seldom
involved ,h0wever ,the entire body surface can be
involved in children.
 Clinical Manifestations
The characteristic skin lesions
include papules or
papulovesicles,burrows ,and
nodules.
 Typical clinical
manifestations

From this picture,we kan see rice-geain size papules or papulovesicles in the
areas between the fingers ,the typical burrows are slightly
elevated,grayish,straight lines of 2 to10 mm in length appearing in the figer
webs ,with one end terminating at a papule or papulovesicle.
Typical clinical
manifestations
From this picture,we kan see the size papules or
papulovesicles in the areas between the lower
abdomen.
Typical clinical
manifestations
Typical clinical
manifestations
 Typical clinical
manifestations
• From the picture above,we can the typical
nodules. The typical nodule is a brown oe red
lesion 3 to 5 mm in diameter ,and often located
on the penis and scrotum.
 Typical clinical
manifestations

From this picture,we kan see the size in the areas

between the wrist.
 Typical clinical
manifestations
• The patient usually have intense itching with
scratching ,particularly an night .
 Reason
• Because the mite are generally quiet during the day, but
at night, the mite often comes out,so this diease is
another feature is the patient is more itchy at night.
 Crusted scabies
• Crusted scabies is a special type of scabies that is
predominantly seen in immunocompromised individuals .
• Presenting typically as a large amount of scales
,crusts ,verrucous plaques ,or even erythroderma in
severe cases .
Crusted scabies
 Diagnosis
• The diagnosis of scabies is drawn mainly from the
contact history ,the typical skin lesions ,the intense
pruritus(especially at night). The direct evidence is
finding mite or its eggs under the microscope.
 Prevention
• 1.Close skin-to skin contact with the infested individuals
should be avoided .
• 2.Sterilizing the patients’clothing and bed linens in boiling
water is recommended.
• 3.Intimate contacts ,especially family members ,should
ideally be inspected and simultaneously treated with
scabicides if affected.
 Treament
• The major treatment for scabicides is topical
scabicides.One of the following can be chosen:
• 1.10% sulfur ointment(5% for infants.), once daily for
5days ,This is the first drug, It is also currently available
to buy the drug.
 Treament
• 2.1% lindane cream ,twice daily for 2 to 3 days.
 Treament
• Topical or intranodular giucocorticoids and liquid nitrogen
cryotherapy are effective for scabietic nodules .
Matters needing attention
• 1.The topical scabicides must be maintained over the
entire body surface during the treatment(except the
head and face of adults),and may be washed off only
24 hours after the last application .
• 2.Oral antihistamines may be used for alleviating
intense pruritus,for example ,the clarityne.
THE END

THANKS!
Quiz