Skip to Main Content


Therapeutic Approach

Scabies is an infestation caused by the Sarcoptes scabiei var. hominis mite that lives its entire life cycle within the epidermis and is spread through personal contact. Clinical presentation is characterized by the following: pruritus with excoriations and eczematous dermatitis that favors interdigital webs, volar aspects of the wrists, lateral palms, elbows, intertriginous areas (axilla), trunk, and anogenital areas. Crusted “Norwegian” scabies is characterized by hyperkeratotic plaques or thickening of the nails, and is most effectively treated with a combination of a topical and systemic therapy. To reduce potential for reinfestation, all family members in the household and close contacts must simultaneously be treated. In addition, regardless of subtype, it is advised to thoroughly clean the household (clothes, bedding, towels, etc.) after completing treatment.1,2 See Table 150-1.

Table 150-1Scabies Treatment Table

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.