The term "scabies clean" refers to a pathological condition, which is one of the forms of scabious dermatitis. The causative agent of the disease is a subcutaneous parasite - a female itch of an arachnid species. Another name for the disease is scabies “incognito”.
Pathology Features
Scabies "clean" in most cases has a typical form of development. In this case, the disease is accompanied by the occurrence of specific signs, and therefore the diagnosis of the disease is not difficult for the doctor. With an atypical form, the symptoms of the pathology are erased, a comprehensive examination is required to identify the pathology.
One of the features of the manifestation of scabies "clean" is that the affected area of the skin in most cases is small. Often the disease proceeds in a latent form. In such cases, only with a pronounced weakening of the body's defenses the first signs of scabies “clean” appear. How to treat a pathology should be told exclusively by a doctor, since self-administration of medications leads to negative consequences, which are much more difficult to eliminate than the disease itself. The difficulty lies in the fact that the latent form of the disease does not lead to the formation of extensive and deep scratching, in connection with which most people do not contact a specialist in a timely manner. As a rule, the disease is diagnosed randomly during the passage of professional examinations.
Most often, “incognito” is diagnosed in people who are responsible for observing hygiene rules, but whose immune system is significantly weakened. In addition, pathology is often detected in people with other diseases of a dermatological nature.
The duration of the initial infection period is from 2 to 14 days, while the latent form of scabby scabies can occur for several months with frequent changes of bedding and underwear and constant washing off of itching with water using cosmetics.
By acting on a subcutaneous parasite with soap, gels, a washcloth, a person removes part of the pathogen from the body. At the same time, the remaining ticks involuntarily penetrate even deeper and hide under the stratum corneum in the formed scabies channels. In this regard, the pathological process becomes a form in which periods of remission (a temporary state of improvement) are replaced by relapses.
Causes
Scabies “clean” (a photo of the external manifestation of the disease is presented below) can occur in the following cases:
- When the doctor was initially diagnosed incorrectly and the wrong treatment regimen was drawn up, including the external use of hormonal ointments and creams. Against the background of their use, the clinical picture is distorted. The patient feels improvement (a decrease in the severity of itching and external signs), but at the same time, the pathology progresses as before.
- After prolonged use of antibacterial agents. Against the background of treatment with the help of such medications, the body's defenses are significantly weakened and the subcutaneous mite can become active. Malfunctioning of the immune system can also occur due to prolonged exposure to stress.
- Frequent hygiene measures using soap. Excessive enthusiasm for water procedures harms the skin as well as their complete absence. With frequent washing, the natural protective barrier is broken, due to which the degree of resistance of the body to subcutaneous itching and other pathogens is reduced. Soap is another enemy of the skin. Alkaline environment also has a negative effect on the protective barrier. In this regard, it is necessary to use only funds whose pH is less than 7.
At risk are people who, by the nature of their professional activities, are often forced to wash themselves: athletes, car mechanics, tractor drivers, miners, etc. Often scabies “clean” (a photo of the first skin manifestations of the disease are presented below) is diagnosed in children, who are often bathed. In such cases, parents most often write off the presence of limited-area combs for the manifestation of an allergic reaction.
If you regularly wash with a washcloth, a large amount of subcutaneous itching and the larvae of the pathogen are removed from the skin with water. This stops the further development of the disease and the formation of new tick-borne passages. That is why an infected person can for a long time not pay attention to existing changes on the skin, attributing them to irritation, allergies or mosquito bites. In such cases, the person still remains the source of the disease.
The main ways of infection:
- Body contact, including a banal handshake.
- Wearing someone else's clothing.
- While caring for an infected person.
- When reading other people's books.
- Use of shared towels and bed linen.
- During children's fun with other people's toys.
Activation of subcutaneous itching occurs at night. In this regard, the transmission of the tick from parents to the child occurs during joint sleep.
Symptoms
How to treat scabies “clean”, it is up to the doctor to decide. If the first signs of pathology occur, you should contact a specialist as soon as possible and not take emergency measures without his permission.
The symptoms of scabies “clean” include the following conditions:
- Slight itching of the skin, which bothers at night. At this time, female pruritus are as active as possible. The larvae of the pathogen and eggs laid in tick-borne passages constantly need oxygen. In order to get it, they secrete a toxic compound that causes itching. A person combs and peels off the skin, as a result of which oxygen enters the pathogens.
- The presence of subtle single moves. These are stripes under the skin, outwardly looking like small scratches. Scabies can have a length of up to 2 cm. Their color varies from slightly whitish to gray. The moves can be meandering or straight. Channels gnaw females of hypodermic itch. They are not always detected during an external examination, but if they are found, this is a clear sign of the presence of scabies “neat”.
- Inflammation in the area of small single scratches. In this case, damage to the skin is mild.
Against the background of frequent hand washing, damage to the palms may occur. In some cases, the skin between the fingers turns red and itchy.
External signs of scabies “clean” are diverse. They may be similar to symptoms of urticaria or dermatitis. Pustules, papules, and vesicles can form on the skin. In the area of tick-borne canals, crusts or cracks can be found.
Despite the fact that in people the symptoms of scabies “neat” are weakly expressed, their intensity intensifies over time. Gradually, increasingly large areas of the skin begin to become involved in the pathological process.
The most typical areas of localization of the disease are:
- Wrists.
- Elbows.
- Popliteal hollows.
- External and internal parts of the feet.
- Axillaries
- The inner thigh.
- The area around the nipples (in both men and women).
- The area between the shoulder blades.
- The areas around the navel.
- The area between the fingers.
- The ribs of the palms.
- Buttocks.
- The genitals.
- Anal hole.
In most cases, damage to the hands occurs. This is the first sign of scabies scab, occurring in a typical form. If the disease is hidden, this symptom may appear later. This happens if the infection has occurred through sexual contact and subcutaneous itching reaches the fingers longer.
The danger of a hidden form of pathology lies in the fact that the correct diagnosis is rarely made in the first months of the development of an ailment. This is precisely due to the fact that the itch slowly gets to the fingers. In this case, combs available on other parts of the body are in most cases taken as insect bites or an allergic reaction. As a rule, the true cause of itching is detected only when the overwhelming part of the body is affected by a tick.
Diagnostics
If you experience the first symptoms of scabby scabies, you should consult a dermatologist. The specialist in the course of admission will conduct an initial diagnosis, including:
- Interrogation of the patient. The doctor needs to provide information on what symptoms are currently bothering and how long they have appeared. Important signs are itching intensifying at night, the presence of rashes on the skin. In addition, it is important for a specialist to know whether there are similar manifestations in persons living with the patient or working / communicating with him in a close team.
- Examination of the patient. The doctor assesses the condition of the skin of a person, reveals the localization of scratching. In some cases, a specialist can visualize tick-borne passages in the affected areas.
If you suspect the presence of a latent form of scabies “neat” in children, for whom careful and regular care is organized, it is necessary to consider:
- Scratching areas atypical for adults. In babies, the most commonly affected subcutaneous mites are: head (face and scalp), neck, feet, nails, back.
- Very rapid destruction of the pathways of the pathogen when combing itchy areas.
- The presence of other rashes that arose against the background of allergies, diathesis, eczema. It is important to consider that they mask the skin signs of scabies “clean”.
Treatment in babies should be carried out immediately. In the absence of timely intervention by a qualified specialist, the pathology will rapidly develop, against which the general condition of the child will deteriorate and the risk of negative consequences will increase.
When examining older children (school), the doctor can additionally detect: sores on the site of the rash, covered with crusts with dried blood or pus; tick-borne passages in the form of elevations above the skin; red bubbles on the elbows.
For an accurate diagnosis, laboratory research methods are mandatory. These include:
- Staining. Its essence is as follows: suspicious areas of the skin are treated with iodine, mascara or methylene blue. These substances are able to brighten stained loosened and inflamed tissue, so that a specialist can clearly visualize tick-borne channels.
- Thin section method. A small patch of skin is taken from the patient. The method is painless and is not accompanied by changes in the appearance of the patient. The resulting biological material is examined under a microscope. During the study, you can detect subcutaneous itching, larvae, eggs and their shells, skins, which are the final product of molting.
- Scraping. Lactic acid is applied to any suspicious area. It helps soften the stratum corneum and does not irritate the skin. After 5 minutes, scraping is performed. The resulting particles of the skin are examined by experts at a magnification of 600 times.
In addition, in some cases it is possible to remove the itch female from the tick-borne canal using a special medical needle.
Conservative Therapies
Regardless of the severity of symptoms of scabies “clean”, treatment of the disease should begin as soon as possible. The outcome of the disease directly depends on the timeliness of the measures taken.
Information on how to treat scabies "clean", provides a dermatologist. The specialist develops a therapy plan, the tasks of which are:
- elimination of mature individuals of the pathogen, their larvae and eggs;
- preventing re-infection and the spread of the epidemic.
General rules for the treatment of scabies "clean":
- All activities are carried out before bedtime, which is due to the high activity of the parasite at night.
- If an ailment is detected in children under 5 years of age, anti-scab drugs are applied completely to the entire body (including the face and scalp).
- At the same time, treatment is carried out for people who closely and regularly communicate with the patient.
- All medications should be rubbed with unprotected gloves with your hands for about 5 minutes. This is due to the fact that the latter show the greatest number of tick channels.
- Regardless of the name of the drug, treatment is carried out on 1 and 4 days. This is due to the fact that 4 days after the onset of the disease, new itching hatch from eggs that the medication did not act on.
- Hygienic procedures are carried out before processing the skin and after 12 hours from the time of application of the drug.
- Bed and underwear should be changed every 6 to 12 hours.
- If complications arise, their intimidation is carried out simultaneously with the main therapy.
Regardless of the severity of symptoms of scabies “clean”, the treatment of the disease includes the external use of anti-scabies. As a rule, doctors prescribe the following drugs:
- "Benzyl benzoate." It is realized in the form of ointment and emulsion. The first treatment is carried out at night. The product should not be washed off the skin for about 12 hours. After this, a linen change occurs and the patient is allowed to take a shower. The second treatment takes place on day 4.
- "Sulfuric ointment". Approved for use in children from 2 months. The skin must be treated every evening for 1 week.
- "Spregal." French product that needs to spray the entire surface of the body.
- Permethrin. Apply overnight for 3 days. Not used in children under 1 year old.
- Lindon. The lotion is applied with a swab overnight on the 1st and 4th day of treatment.
When scabies "clean" drugs should be prescribed by a doctor, taking into account the individual characteristics of the patient's health and the course of pathology.
After treatment, allergic itching may occur. This condition is not the basis for a second course of therapy. Long-term use of external agents can lead to the development of severe dermatitis.
Folk methods
The use of alternative medicine recipes to combat scabies “clean” does not exclude the need to seek qualified medical help. The use of alternative methods is permissible only with the permission of the doctor and solely with the aim of increasing the effectiveness of medicines.
The most effective recipes are listed below:
- Prepare 0.5 l of mustard oil and 100 g chopped garlic. Mix the ingredients, put the container with the product on the fire. Bring to a boil and cook for another 20 minutes. After this time, cool the tool, squeeze the garlic into the oil. Lubricate affected skin.
- Let the homemade kvass turn sour. Then you need to add a pinch of salt into it. Heat the kvass and lower your hands into it. Once the liquid has cooled, the procedure can be considered completed.
- Prepare 2 tbsp. l drying oils and 1 tbsp. l turpentine. Mix the ingredients and apply the product on the affected areas of the skin three times a day. Residues can be removed with a paper towel.
The regular use of these recipes will help in a short time to eliminate itching and get rid of the subcutaneous tick.
Possible complications
As in the case with any other disease, ignoring or self-medication of scabies “clean” leads to the development of negative consequences. When combing the affected areas, a secondary infection often joins, which is much more difficult and longer to treat.
In addition, possible complications of the disease are: boils, abscesses, microbial eczema, allergic dermatitis and erysipelas. In advanced cases, damage to the kidneys and heart muscle occurs.
Forecast
The outcome of the disease directly depends on the timeliness of seeking medical help and the level of literacy of the doctor. With an accurate diagnosis and adequate treatment, recovery occurs in a few days.
Ignoring the problem leads to the development of complications. The negative consequences of the disease for young children are especially dangerous. Isolated cases of death are known to medicine.
Prevention
To prevent the development of the disease after contact with an infected person, it is necessary to undergo a course of treatment that includes at least one body treatment. If a family member suffers from scabies of “neat” people, all bedding must be washed in water of the highest possible temperature.
In order to protect yourself from the occurrence of an ailment, you need to make adjustments to the daily regimen. Hygienic procedures are an important part of the life of a modern person, but it is not recommended to get involved in them excessively. Against the background of frequent washing of the body, the protective barrier of the skin is broken, which serves as a favorable environment for the penetration and reproduction of scabies itching.
In addition, do not use soap. This is an alkaline pH product that also negatively affects the protective properties of the skin.
Finally
Scabies "clean" is a disease that is a form of scabiotic dermatitis. Pathology in most cases is diagnosed in persons who very often carry out hygienic procedures, especially with a washcloth and soap, as well as in children whose parents wash their body with each contamination.
If alarming signs appear, consult a dermatologist. The doctor will draw up a referral for diagnosis and, based on the results of the studies, will draw up the most effective treatment regimen.