Scabies: Concerns and Treatment for Your Family

Scabies is indeed very distressing?

Hello Dr.
Wu! This month, my three-month-old child and I were diagnosed with scabies.
The three-month-old child has developed large bumps on the body, numerous small blisters on the soles of the feet and palms, as well as many small papules on the abdomen.
After we were diagnosed with scabies, I immediately applied medication and disinfected my three children, my husband, and my mother who lives with us, following the doctor's instructions for the environment and clothing.
At that time, my second child had not shown any signs of scabies or papules, but now, almost a week later, the second child has started to develop small rashes on the back, legs, and buttocks! Additionally, the three-month-old child, who previously had no rashes on the scrotum, has just been found to have developed rashes there as well.
Could this mean that the scabies has not been fully eradicated, or could it just be an allergic reaction? I've heard that new rashes indicate that the condition has not healed...
This is really troubling me! Thank you so much for your response, Dr.
Wu, I greatly appreciate it!

Fang, 20~29 year old female. Ask Date: 2018/12/05

Dr. Wu Yuxin reply Dermatology

Scabies patients may also be at risk of developing other skin conditions; it requires examination to determine.

Reply Date: 2018/12/05

More Info

Scabies, caused by the Sarcoptes scabiei mite, is a highly contagious skin condition that can lead to significant discomfort and distress for both adults and children. It is understandable that you are feeling overwhelmed, especially with a three-month-old baby and concerns about your other children. Let's break down your situation and address your concerns regarding scabies and its treatment.

First, it is important to recognize that scabies can spread rapidly within households, particularly when close contact occurs, as is common in families. The symptoms you described, such as the large bumps, small water blisters, and numerous little bumps on your child's abdomen, are indeed characteristic of scabies. The mites burrow into the skin, causing intense itching and a rash that can be mistaken for other skin conditions.

Given that your three-month-old child has developed new lesions, it is crucial to consider a few factors:
1. Treatment Compliance: Ensure that all family members, including your second child, have been treated simultaneously. Scabies treatment typically involves topical medications like permethrin cream or oral ivermectin, depending on the severity and age of the affected individuals. It is essential that everyone in the household follows the treatment regimen as prescribed by your healthcare provider to prevent reinfestation.

2. Environmental Cleaning: Scabies mites can survive for a short time on surfaces and clothing. It is vital to wash all bedding, clothing, and towels in hot water and dry them on a hot cycle. Vacuuming carpets and furniture can also help eliminate any mites that may have fallen off during treatment.

3. New Symptoms: The appearance of new bumps or rashes in your second child could indicate either a continuation of the scabies infestation or a separate allergic reaction. Allergic reactions can occur due to the skin's sensitivity after the mites have been treated. It is not uncommon for the itching and rash to persist for a while even after successful treatment, as the skin may still be reacting to the previous infestation.

4. Follow-Up Care: Since you are experiencing ongoing symptoms, it is advisable to follow up with your healthcare provider. They can assess the new rashes, determine whether they are due to scabies or another condition, and recommend appropriate treatment. If scabies is still present, they may suggest re-treatment or alternative medications.

5. Monitoring for Symptoms: Keep a close eye on all family members for any signs of new rashes or increased itching. If anyone develops new symptoms, it is crucial to seek medical advice promptly.

6. Emotional Support: Dealing with scabies can be stressful, especially with young children involved. It is essential to take care of your emotional well-being during this time. Consider reaching out to friends, family, or support groups for assistance and encouragement.

In conclusion, while it can be distressing to see new rashes after treatment, it is essential to ensure that all family members are treated, the environment is cleaned thoroughly, and follow-up care is sought. Scabies is manageable with proper treatment and care, and your healthcare provider can guide you through this process. Remember, you are not alone in this, and support is available.

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