Scabies: Treatment and Recovery for Skin Bumps - Dermatology

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Scabies lesions on the body?


Hello Dr.
Lee,
At the end of 2014, around late November, I started noticing lumps in my groin, buttocks, near the anus, and on my reproductive organs, specifically my testicles.
I consulted many dermatologists, most of whom diagnosed it as scabies, but it still persisted.
However, after following the treatment suggested by the last doctor I visited two weeks ago, most of the symptoms have improved.
The only issue is that the lower part of my body still itches before bed and occasionally during the day, but it’s not severe enough to prevent me from sleeping.
I would like to ask if I am on the road to recovery, and when can I expect those lumps to disappear? Thank you.

Yang, 10~19 year old female. Ask Date: 2015/04/08

Dr. Li Yufen reply Dermatology


Hello: It is recommended to return for a follow-up visit to continue treatment and ensure that there are no remaining scabies lesions.
The nodules on the testicles are associated with scabies.
You can use a soft-bristled toothbrush or a bath brush to wash them while bathing, and then apply scabies cream to the entire body below the neck.
Thank you!

Reply Date: 2015/04/08

More Info


Scabies, also known as sarcoptic mange, is a highly contagious skin condition caused by tiny mites that burrow into the skin, leading to intense itching and a rash characterized by small bumps or blisters. The areas you mentioned—such as the groin, buttocks, and genital region—are common sites for scabies infestations due to the close skin-to-skin contact that often occurs in these areas.

From your description, it seems that you have received treatment for scabies, which typically involves the application of topical scabicides like permethrin cream or oral medications such as ivermectin. These treatments are effective in killing the mites and alleviating the symptoms. However, it is important to understand that even after the mites are eradicated, the itching and skin irritation can persist for a while due to the body's inflammatory response to the mites and their waste products.

Regarding your question about whether you are "better" and when the bumps will disappear, it is common for the skin to take some time to heal even after successful treatment. The bumps you are experiencing may be remnants of the scabies infestation or secondary infections that can occur due to scratching. The healing process can vary from person to person, but generally, you should start to see improvement in the bumps and itching within a few weeks after completing treatment.

Here are some recommendations to help with your recovery:
1. Continue Treatment as Directed: Ensure that you follow the treatment regimen as prescribed by your healthcare provider. If you have any concerns about the effectiveness of the treatment, consult your doctor.

2. Avoid Scratching: Scratching can exacerbate the irritation and lead to secondary infections. Consider using anti-itch creams or oral antihistamines to help manage the itching.

3. Moisturize: Applying a fragrance-free moisturizer can help soothe the skin and reduce dryness, which may contribute to itching.

4. Keep the Area Clean: Maintain good hygiene by washing the affected areas gently with mild soap and water. Avoid harsh soaps or scrubs that can irritate the skin further.

5. Monitor for Secondary Infections: If you notice increased redness, swelling, or pus coming from the bumps, it may indicate a secondary bacterial infection that requires medical attention.

6. Follow-Up with Your Doctor: If the bumps persist or worsen, or if you experience severe itching that disrupts your sleep, it is essential to follow up with your healthcare provider. They may recommend additional treatments or evaluate for other skin conditions.

7. Prevent Reinfestation: Scabies is highly contagious, so it's crucial to treat all close contacts and wash bedding, clothing, and towels in hot water to prevent reinfestation.

In summary, while it sounds like you are on the right path to recovery, patience is key. The bumps may take some time to resolve completely, and managing the itching and maintaining skin care will be essential in your healing process. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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