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Lesson 24. Scabies

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References

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  • Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office. J Am Board Fam Med. 2017 1/2;30:78-84.
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  • Elosua-González M, García-Zamora E. Crusted Scabies. N Engl J Med. 2017;377:476.
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  • Leone PA. Scabies and pediculosis pubis: an update of treatment regimens and general review. Clin Infect Dis. 2007;44 Suppl 3:S153-9.
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Tables

Table 1. 2021 STI Treatment Guidelines: Ectoparasitic Infections
Treatment of Scabies

Note: lindane was previously recommended as an alternative treatment for scabies, but lindane has been discontinued in the United States due to risk of neurotoxicity.
Source: Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. Ectoparasitic infections. MMWR Recomm Rep. 2021;70(No. RR-4):1-187. [2021 STI Treatment Guidelines]

Table 2. 2015 STD Treatment Guidelines: Ectoparasitic Infections
Treatment of Crusted Scabies

Substantial treatment failure might occur with a single-dose topical scabicide or with oral ivermectin treatment. Combination treatment is recommended.
Lindane should be avoided because of the risks for neurotoxicity with heavy applications or denuded skin

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