Overview

Scabies is an itchy skin condition caused by a tiny burrowing mite called Sarcoptes scabiei. The presence of the mite leads to intense itching in the area of its burrows. The urge to scratch may be especially strong at night.

Scabies is contagious and can spread quickly through close physical contact in a family, child care group, school class, nursing home or prison. Because of the contagious nature of scabies, doctors often recommend treatment for entire families or contact groups.

Scabies is readily treated. Medications applied to your skin kill the mites that cause scabies and their eggs, although you may still experience some itching for several weeks.

Symptoms

Scabies signs and symptoms include:

  • Itching, often severe and usually worse at night
  • Thin, irregular burrow tracks made up of tiny blisters or bumps on your skin

The burrows or tracks typically appear in folds of your skin. Though almost any part of your body may be involved, in adults and older children scabies is most often found:

  • Between fingers
  • In armpits
  • Around your waist
  • Along the insides of wrists
  • On your inner elbow
  • On the soles of your feet
  • Around breasts
  • Around the male genital area
  • On buttocks
  • On knees
  • On shoulder blades

In infants and young children, common sites of infestation include the:

  • Scalp
  • Face
  • Neck
  • Palms of the hands
  • Soles of the feet

If you've had scabies before, signs and symptoms may develop within a few days of exposure. However, if you've never had scabies, it could take as long as six weeks for signs and symptoms to begin. It's important to remember that you can still spread scabies even if you don't have any signs or symptoms yet.

When to see a doctor

Talk to your doctor if you have signs and symptoms that may indicate scabies.

Many skin conditions, such as dermatitis or eczema, are associated with itching and small bumps on the skin. Your doctor can help determine the exact cause and ensure that you receive proper treatment. Bathing and over-the-counter preparations won't eliminate scabies.

Causes

The eight-legged mite that causes scabies in humans is microscopic. The female mite burrows just beneath your skin and produces a tunnel in which it deposits eggs. The eggs hatch, and the mite larvae work their way to the surface of your skin, where they mature and can spread to other areas of your skin or to the skin of other people. The itching of scabies results from your body's allergic reaction to the mites, their eggs and their waste.

Close physical contact and, less often, sharing clothing or bedding with an infected person can spread the mites.

Dogs, cats and humans all are affected by their own distinct species of mite. Each species of mite prefers one specific type of host and doesn't live long away from that preferred host. So humans may have a temporary skin reaction from contact with the animal scabies mite. But people are unlikely to develop full-blown scabies from this source, as they might from contact with the human scabies mite.

Complications

Vigorous scratching can break your skin and allow a secondary bacterial infection, such as impetigo, to occur. Impetigo is a superficial infection of the skin that's caused most often by staph (staphylococci) bacteria or occasionally by strep (streptococci) bacteria.

A more severe form of scabies, called crusted scabies, may affect certain high-risk groups, including:

  • People with chronic health conditions that weaken the immune system, such as HIV or chronic leukemia
  • People who are very ill, such as people in hospitals or nursing facilities
  • Older people in nursing homes

Crusted scabies, also called Norwegian scabies, tends to be crusty and scaly, and to cover large areas of the body. It's very contagious and can be hard to treat.

Prevention

To prevent re-infestation and to prevent the mites from spreading to other people, take these steps:

  • Clean all clothes and linen. Use hot, soapy water to wash all clothing, towels and bedding used within three days before beginning treatment. Dry with high heat. Dry-clean items you can't wash at home.
  • Starve the mites. Consider placing items you can't wash in a sealed plastic bag and leaving it in an out-of-the-way place, such as in your garage, for a couple of weeks. Mites die after a few days without food.
July 07, 2015
References
  1. Scabies. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/scabies/. Accessed May 27, 2015.
  2. Scabies. American Academy of Dermatology. https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/q---t/scabies. Accessed May 27, 2015
  3. Medications. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/scabies/health_professionals/meds.html. Accessed May 27, 2015.
  4. Stromectol (prescribing information). Whitehouse Station, N.J.: Merck & Co. Inc.; 2010. http://www.merck.com/product/prescription-products/home.html. Accessed May 27, 2015.
  5. Permethrin cream (prescribing information). Bronx, N.Y.: Perrigo; 2010. http://www.perrigo.com/search.aspx?term=permehtrin%20cream. Accessed May 27, 2015.
  6. Lindane lotion (prescribing information). Morton Grove, Ill.: Morton Grove Pharmaceuticals Inc.; 2007. http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=770415b2-4555-4abc-b5d6-c67dfb07ab30. Accessed May 27, 2015.
  7. Eurax (prescribing information). Jacksonville, Fla.: Ranbaxy; 2009. http://euraxrx.com/. Accessed May 27, 2015.
  8. Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. June 4, 2015.
  9. Parasites — scabies. http://www.cdc.gov/parasites/scabies/health_professionals/meds.html. Accessed June 9, 2015.