Hello and welcome to the Zero to Finals podcast. My name is Tom, and in this episode, I'm going to be talking to you about Skaibis.

And you can find written notes on this topic at zero definals.com slash scabies, or in the dermatology section of the zero to finals pediatrics book.

So let's get straight into it.

Scabies are tiny mites called sarcopty's scabii that burrow under the skin causing infection

and intense itching. They lay eggs in the skin which lead to further infection and further

symptoms. It can take up to eight weeks for any symptoms or rash to

appear after the initial infestation with scabies. So how does it present? Skaabies presents with

incredibly itchy, small red spots, possibly with track marks where the mites have borrowed under

the skin. The classic location of the rash is between the finger webs,

but it can spread to the whole body or appear anywhere.

A tom tip for you, scabies is more common than you may think.

When someone presents with an itchy rash,

ask whether they live with anyone who has had a similar rash

and check between their

finger webs for little red dots and track marks that may indicate scabies.

So what's the management of scabies?

Treatment is with permethrin cream, and this needs to be applied to the whole body completely

covering the skin.

It's best to do this when the skin is cool,

for example not after a hot bath or shower, so that a layer of cream remains on top of the skin

and does not get absorbed. The cream should be left on for 8 to 12 hours and then washed off.

This should be repeated a week later to kill any eggs that survived the first treatment

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