Vol 8, No 2 (2022)
Review paper
Published online: 2022-06-30
Get Citation

Scabies — review of the current diagnostic criteria and treatment recommendations

Karolina Krawczyk1, Adam Reich1
·
Forum Dermatologicum 2022;8(2):89-92.
Affiliations
  1. Zakład i Klinika Dermatologii, Instytut Nauk Medycznych, Kolegium Nauk Medycznych, Uniwersytet Rzeszowski

paid access

Vol 8, No 2 (2022)
REVIEW ARTICLES
Published online: 2022-06-30

Abstract

Scabies is an ectoparasite skin disease caused by the mite Sarcoptes scabiei var. hominis. In 2020, the International Alliance for the Control of Scabies (IACS) developed the specific diagnostic criteria. Diagnosis is suspected on the basis of a suggestive history, an itch and clinical findings. However, an imaging examination (microscopic or dermoscopic) is required to make a definitive diagnosis. According to a guideline of European Academy of Dermatology and Venereology (EADV) recommended treatment includes a topical permethrin 5%, an oral ivermectin and a topical benzyl benzoate.

Abstract

Scabies is an ectoparasite skin disease caused by the mite Sarcoptes scabiei var. hominis. In 2020, the International Alliance for the Control of Scabies (IACS) developed the specific diagnostic criteria. Diagnosis is suspected on the basis of a suggestive history, an itch and clinical findings. However, an imaging examination (microscopic or dermoscopic) is required to make a definitive diagnosis. According to a guideline of European Academy of Dermatology and Venereology (EADV) recommended treatment includes a topical permethrin 5%, an oral ivermectin and a topical benzyl benzoate.

Get Citation

Keywords

scabies, ivermectin, permetrin

About this article
Title

Scabies — review of the current diagnostic criteria and treatment recommendations

Journal

Forum Dermatologicum

Issue

Vol 8, No 2 (2022)

Article type

Review paper

Pages

89-92

Published online

2022-06-30

Page views

1328

Article views/downloads

29

DOI

10.5603/FD.2022.0017

Bibliographic record

Forum Dermatologicum 2022;8(2):89-92.

Keywords

scabies
ivermectin
permetrin

Authors

Karolina Krawczyk
Adam Reich

References (26)
  1. Engelman D, Yoshizumi J, Hay RJ, et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020; 183(5): 808–820.
  2. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators . Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388(10053): 1545–1602.
  3. Leung V, Miller M. Detection of scabies: A systematic review of diagnostic methods . Can J Infect Dis Med Microbiol . 2011; 22(4): 143–146.
  4. Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office. J Am Board Fam Med. 2017; 30(1): 78–84.
  5. Chandler DJ, Fuller LC. A Review of Scabies: An Infestation More than Skin Deep. Dermatology. 2019; 235(2): 79–90.
  6. Hicks MI, Elston DM. Scabies. Dermatol Ther. 2009; 22(4): 279–292.
  7. Suh KS, Han SH, Lee KH, et al. Mites and burrows are frequently found in nodular scabies by dermoscopy and histopathology. J Am Acad Dermatol. 2014; 71(5): 1022–1023.
  8. Orkin M. Special forms of scabies. In: Orkin M. ed. Scabies and pediculosis. Lippincott, Philadelphia 1977.
  9. Salavastru CM, Chosidow O, Boffa MJ, et al. European guideline for the management of scabies. J Eur Acad Dermatol Venereol. 2017; 31(8): 1248–1253.
  10. Sunderkötter C, Wohlrab J, Hamm H. Scabies: Epidemiology, Diagnosis, and Treatment. Dtsch Arztebl Int. 2021; 118(41): 695–704.
  11. Hill TA, Cohen B. Scabies in babies. Pediatr Dermatol. 2017; 34(6): 690–694.
  12. Levy M, Martin L, Bursztejn A, et al. Ivermectin safety in infants and children under 15 kg treated for scabies: a multicentric observational study. Br J Dermatol. 2019; 182(4): 1003–1006.
  13. Kosmala A, Szymoniak-Lipska M, Jałowska M, et al. Crusted scabies in a patient with systemic disorders – evaluation of ivermectin treatment results. Dermatol Rev. 2019; 106(6): 671–679.
  14. Hu S, Bigby M. Treating scabies: results from an updated Cochrane review. Arch Dermatol. 2008; 144(12): 1638–1640.
  15. Rosumeck S, Nast A, Dressler C. Evaluation of Ivermectin vs Permethrin for Treating Scabies-Summary of a Cochrane Review. JAMA Dermatol. 2019; 155(6): 730–732.
  16. Dhana A, Yen H, Okhovat JP, et al. Ivermectin versus permethrin in the treatment of scabies: A systematic review and meta-analysis of randomized controlled trials. J Am Acad Dermatol. 2018; 78(1): 194–198.
  17. Sunderkötter C, Feldmeier H, Fölster-Holst R, et al. S1 guidelines on the diagnosis and treatment of scabies - short version. J Dtsch Dermatol Ges. 2016; 14(11): 1155–1167.
  18. Hamm H, Beiteke U, Höger PH, et al. Treatment of scabies with 5% permethrin cream: results of a German multicenter study. J Dtsch Dermatol Ges. 2006; 4(5): 407–413.
  19. Hicks MI, Elston DM. Scabies. Dermatol Ther. 2009; 22(4): 279–292.
  20. Goldust M, Rezaee E, Raghifar R, et al. Treatment of scabies: the topical ivermectin vs. permethrin 2.5% cream. Ann Parasitol. 2013; 59(2): 79–84.
  21. Romani L, Whitfeld MJ, Koroivueta J, et al. Mass Drug Administration for Scabies Control in a Population with Endemic Disease. N Engl J Med. 2015; 373(24): 2305–2313.
  22. Subramaniam S, Rutman MS, Wenger JK. A papulopustular, vesicular, crusted rash in a 4-week-old neonate. Pediatr Emerg Care. 2013; 29(11): 1210–1212.
  23. Cestari TF, Martignago BF. Scabies, pediculosis, bedbugs, and stinkbugs: uncommon presentations. Clin Dermatol. 2005; 23(6): 545–554.
  24. Currie BJ, McCarthy JS. Permethrin and ivermectin for scabies. N Engl J Med. 2010; 362(8): 717–725.
  25. Goldust M, Rezaee E, Hemayat S. Treatment of scabies: Comparison of permethrin 5% versus ivermectin. J Dermatol. 2012; 39(6): 545–547.
  26. Usha V, Gopalakrishnan Nair TV. A comparative study of oral ivermectin and topical permethrin cream in the treatment of scabies. J Am Acad Dermatol. 2000; 42(2 Pt 1): 236–240.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
phone: +48 58 320 94 94, fax: +48 58 320 94 60, e-mail: viamedica@viamedica.pl