Crusted scabies

How might crusted scabies be treated?

Crusted scabies may be particularly difficult to treat. Patients with crusted scabies may be instructed by their doctors to remove scaling skin so that topical medications can penetrate the skin more easily. Repeated applications of a topical medication or combined treatment with a topical and an oral medication for several weeks or longer may be necessary. Patients who still have signs of infection after one month may need additional treatment. Infants and pregnant women should be treated for scabies only if the benefit is determined to outweigh the risk and if the diagnosis is confirmed by biopsy.

A dermatologist or infectious disease physician should be involved in the care of the patient and those with whom they have had close contact. Treatment of crusted scabies should be done in an inpatient or residential setting, with the patient in a private room.Treatment includes oral Ivermectin and topical insecticides.

Last updated on 05-01-20

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The RareGuru disease database is regularly updated using data generously provided by GARD, the United States Genetic and Rare Disease Information Center.

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