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A Clinical Atlas of 101 Common Skin Diseases

Scabies

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An inflammatory process caused by the acarus Sarcoptes scabiei and consisting of papules, papulovesicles, papulopustules, and vesicles, some arranged in linear or curvilinear tracks (burrows).

A Clinical Atlas of 101 Common Skin Diseases

Scabies

An inflammatory process caused by the acarus Sarcoptes scabiei and consisting of papules, papulovesicles, papulopustules, and vesicles, some arranged in linear or curvilinear tracks (burrows). Sometimes nodules are present, especially in the interdi…

Therapeutic Strategies in Dermatology

Scabies: Principles of Management of Scabies

Principles of Management of Scabies Initial therapy First line: Topical 5% permethrin cream, applied overnight to entire body except face, hair-bearing scalp. Rinse thoroughly and follow decontamination protocol. Treat patient and all household mem…

Therapeutic Strategies in Dermatology

Scabies

An inflammatory process caused by the acarus Sarcoptes scabiei and consisting of papules, papulovesicles, papulopustules, and vesicles, some arranged in linear or curvilinear tracks (burrows). Sometimes nodules are present, especially in the interdi…

Therapeutic Strategies in Dermatology

Scabies: Key Points

…elderly individuals may not report pruritus. The diagnosis of scabies can be made by presence of mites, eggs, or mite feces (scyballa) in skin scrapings, and can be visualized by skin biopsy. The mainstay of scabies treatment in the United States in…

Therapeutic Strategies in Dermatology

Scabies: Initial Evaluation

Initial Evaluation Erythematous, crusted, excoriated papules, pustules, and vesicles. Linear burrows representing the path of the mite through the skin may also be seen. Wrists, interdigital web spaces, axilla, genitalia are typically affected sites…

Therapeutic Strategies in Dermatology

Papular Urticaria: Key Points

Key Points Papular urticaria refers to a clinical presentation of hypersensitivity reactions to insect bites that results in a distinct cutaneous morphology and natural history. The classic morphology is a symmetric urticarial to papular or papulov…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

Initial Evaluation The lice, eggs, or nits (empty egg casings) are not always obviously visualized. Important clues include excoriated erythematous papules (shown in this image) or maculae ceruleans (slate-blue macules) on areas of skin that come in…

Therapeutic Strategies in Dermatology

Pruritic Urticarial Papules and Plaques of Pregnancy: Overview

Overview This common and very pruritic disorder of pregnancy of unknown cause usually begins in the third trimester and resolves with delivery. Unlike herpes gestationis, postpartum onset or exacerbation is rare. Therapy is empiric and aims to contr…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Key Points

Key Points Hand dermatitis may be difficult to treat due to the thickened skin surface of the hands and the frequent exposure of the hands to irritants and potentially exacerbating factors. Hand dermatitis can range from an acute, extremely pruriti…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

Initial Evaluation The presentation of allergic contact dermatitis may range from mild edema, erythema, or eczematous papules and plaques, to bright erythema with vesicles, bullae, and crusting; less e…

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