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2015 ; 20
(7
): 395-402
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English Wikipedia
Scabies
#MMPMID26527041
Banerji A
Paediatr Child Health
2015[Oct]; 20
(7
): 395-402
PMID26527041
show ga
Scabies is a contagious skin infestation caused by a mite. It causes significant
global morbidity, with an estimated 300 million cases annually. Although it can
affect individuals at any socioeconomic level, individuals who live in poverty or
in overcrowded conditions are at much higher risk for scabies. Lack of local
expertise can result in failure to recognize scabies, leading to delayed
diagnosis and inadequate treatment of cases and contacts. Scabies
disproportionately affects many Indigenous (First Nations, Inuit, Métis)
communities where risk factors are present. Scabies risk is also higher in young
children, the elderly and immunocompromised individuals. Institutional outbreaks
of scabies have also been reported. Apart from a very itchy rash, scabies can
lead to secondary bacterial infections and related complications, as well as to
stigmatization, depression, insomnia and significant financial costs. Topical
antiscabies lotions are still the mainstay of treatment, but oral ivermectin has
also proven effective under certain circumstances. Asymptomatic and symptomatic
household members should all be treated at the same time. In Canada and globally,
the presence of scabies is usually a symptom of poor living conditions and a sign
that basic necessities need improvement. Clinicians who work with Indigenous
communities can improve their ability to diagnose and treat scabies, and should
advocate for better living conditions where scabies is prevalent.