PARASITIC INFECTION OF SKIN

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 Ectoparasitic infections

Ectoparasitic infection

Scabies Pediculosis

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 Scabies
• Itchy, contagious, ectoparasitic skin infestation

• Caused by sarcoptes scabiei var homins (itch mite)

• 11-13 mites/patient

• Classified as water washed disease( ↓personal hygiene)

• Incubation period-4 weeks. (Reinfection-2 days)

• Nocturnal pruritus

• Family history of infection

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 Scabies

• Clinical features

• Burrow: Linear/wavy tunnel in the skin

• Level: stratum corneum

Mc sites: web spaces

Animal scabies(mange) burrows are absent

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 Scabies
Distribution of scabies circle of hebra

circle of hebra

Imaginary circle intersecting

1) Web spaces • Face is spared in adult scabies- due to the
production of sebum by sebaceous glands
2) Medial aspect of forearm which repel the mite
3 )Anterior axiliary fold

4 )Nipple

5 )Around umbilicus

6) Genitalia

7) Groin

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 Diagnosis and treatment of scabies
Diagnosis
• In KOH mount itch mite identified by
General management
• 2 anterior pairs of legs

• 2 posterior pairs of legs

Topical Systematic
Treatment

• Treat pruritis- antihistamines

• Treat clothes and bedding of patient

• Treat family members

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 Diagnosis and treatment of scabies

Tropical Systemic

• Permethrin 5%- Apply for 12 hours below the • Ivermectin- bind to Glutamate gated Cl-
neck and wash it off channel

• Benzyl benzoate
Cl influx
• Gamma Benzene hexa chloride(GBHC)

• Crotamiton Hyperpolarisation of membrane

• Precipitated Sulphur
Paralysis of mite

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