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Suggest Treatment For Severe Itching On The Finger While Having Scabies

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Posted on Thu, 15 Dec 2016
Question: How can I tell if I have scabies or something else, have completed all the treatment over two weeks ago including appropriate laundry of all contaminated item a. Rash is now worse . Concerned it might be bird mites ?
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Answered by Dr. Asmeet Kaur Sawhney (3 hours later)
Brief Answer:
itching usually at night, positive family history & rash on specific sites

Detailed Answer:
Hi
Thanks for being at healthcaremagic,

In scabies patients complain of severe itching usually at night along with bumps on the finger web spaces, sides of fingers, wrists, axilla, chest, abdomen, buttocks and thighs along with genitals in males.

In fact, presence of bumps on the male genital organs is considered characteristic of scabies.
Moreover one or more members in the family have similar complaints.

Usually also after using permethrin itching in scabies takes 3-4 weeks to resolve as it is due to hypersensitivity reaction and takes time to settle and 2 courses of Permethrin 5 percent 1 week apart are required to be effective.

You need to continue with the antihistaminic i.e. tablet Cetirizine 10 mg twice daily and apply Cortisone cream on the itchy areas for another 2-3 weeks.

Feel free to ask further
Regards
Dr Asmeet
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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Suggest Treatment For Severe Itching On The Finger While Having Scabies

Brief Answer: itching usually at night, positive family history & rash on specific sites Detailed Answer: Hi Thanks for being at healthcaremagic, In scabies patients complain of severe itching usually at night along with bumps on the finger web spaces, sides of fingers, wrists, axilla, chest, abdomen, buttocks and thighs along with genitals in males. In fact, presence of bumps on the male genital organs is considered characteristic of scabies. Moreover one or more members in the family have similar complaints. Usually also after using permethrin itching in scabies takes 3-4 weeks to resolve as it is due to hypersensitivity reaction and takes time to settle and 2 courses of Permethrin 5 percent 1 week apart are required to be effective. You need to continue with the antihistaminic i.e. tablet Cetirizine 10 mg twice daily and apply Cortisone cream on the itchy areas for another 2-3 weeks. Feel free to ask further Regards Dr Asmeet