Scabies: Symptoms, Transmission, and Prevention Tips - Dermatology

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Itching skin?


I work in a hospital, and recently a patient with scabies was admitted.
I had limited contact with the patient, but I noticed many small red bumps on my arm that resemble mosquito bites, and they are itchy.
I'm wondering if I might have been infected! Is it possible for symptoms to appear so quickly? I have never had scabies before, and I only had contact with that patient for three days.
If that is the case, should I disinfect all the areas I have touched at home? 🤔🤔 I plan to see a dermatologist on my day off on Wednesday to get it checked out.

Wenzi, 10~19 year old female. Ask Date: 2019/10/28

Dr. Wu Yuxin reply Dermatology


Individuals may consider prophylactic medication for their skin, while the environmental factors depend on each person's level of exposure.

Reply Date: 2019/10/28

More Info


Scabies, caused by the Sarcoptes scabiei mite, is a highly contagious skin condition characterized by intense itching and a rash. The symptoms typically manifest as small red bumps or blisters, often resembling mosquito bites, and are usually accompanied by severe itching, especially at night. The rash is commonly found in areas where the skin folds, such as between the fingers, under the arms, around the waist, and in the genital area.

In your case, since you mentioned that you had limited contact with a patient diagnosed with scabies and are now experiencing symptoms, it is indeed possible that you may have contracted the condition. The incubation period for scabies can vary; symptoms may appear anywhere from 2 to 6 weeks after initial exposure, but in individuals who have had scabies before, symptoms can develop within a few days. This variability can lead to confusion, especially if you have not previously experienced scabies.

Regarding transmission, scabies is primarily spread through prolonged skin-to-skin contact with an infected person. It can also be transmitted through sharing clothing, bedding, or towels, which is why it is crucial to disinfect any items that may have come into contact with the infected individual. In your case, it would be wise to thoroughly clean and disinfect any surfaces or items you may have touched while caring for the patient. This includes washing clothing and bedding in hot water and using a hot dryer to kill any mites that may be present.

Prevention is key in controlling the spread of scabies. If you suspect you have been infected, it is essential to seek medical attention promptly. A dermatologist can confirm the diagnosis and prescribe appropriate treatment, typically involving topical scabicides like permethrin or oral medications such as ivermectin. It is also important to inform anyone you have been in close contact with, as they may need to be treated as well, even if they do not show symptoms.

In addition to medical treatment, consider the following prevention tips:
1. Avoid close contact: Until you have been treated and cleared by a healthcare professional, try to minimize close physical contact with others.

2. Wash personal items: As mentioned, wash all clothing, bedding, and towels in hot water and dry them on high heat.

3. Vacuum thoroughly: Vacuum carpets and upholstered furniture to remove any potential mites.

4. Avoid sharing personal items: Do not share clothing, towels, or bedding until you are sure you are no longer contagious.

Lastly, it is good that you plan to see a dermatologist. They can provide a definitive diagnosis and guide you on the best course of action. Remember, early intervention is crucial in preventing the spread of scabies and ensuring a quick recovery.

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