Tuesday, 19 April 2016

That harmless itch might be scabies, don’t take it lightly.

Our skin is first line of defense which covers and protects the underlying layers from germs and infections. However, sometimes it can get infected by them.
A person constantly scratching his body might get despised by everyone around. A pretty little girl who has itchy rashes might be avoided by friends and left to play alone. Scabies is a skin disease, but can affect all spheres of your life. The itching might prevent a person from doing his office work or prevent a woman from taking good care of her family. The itching might present them from enjoying pleasures of social bonding as people around them start to avoid them in fear of contracting the infection. In some people, the problems might be severe enough to cause depression and isolation from friends and family.

When the skin is infected, it may no longer serve to protect us, and can become a portal of entry for other microorganisms. In addition, many skin disorders manifest as itching which becomes a nuisance and may interfere with daily activities of a person.

What is Scabies?

It is a skin condition caused by the parasite or mite called sarcoptes scabies. It is a common condition and can affect anyone. The mites form burrows in the skin and lay eggs which hatch and come out of the burrows and spread to the new host during physical contact. They can survive indefinitely in the absence of proper treatment. The mite spreads easily with skin contact which is common in crowded areas. Sharing clothes and bedding may also spread the infection.

Causes of scabies

Scabies is a contagious disease. The mites cannot jump or fly and can spread only with prolonged skin contact with the infected person. The common causes of scabies and its spread include the following:
  • People living in crowded places tend to contract and spread the disease.
  • People who do not pay attention to personal hygiene may have high risk of infestation. 
  • The mites are easily transferred during sexual intercourse.
  • Sharing clothes and bedding may spread the infection but the chances are less.
  • Scabies spread to humans from animals may cause only temporary skin reactions. This is because each species of the mites prefer a specific host and cannot survive for a long time in the other hosts.

The mites can survive outside the host for 24-36 hours and hence it is very easy for them to spread. Scabies is commonly regarded as a condition which is prevalent in people with poor living habits and lack of personal hygiene. However, there is no data in support of this assumption.

Symptoms of scabies

Scabies symptoms are due to the allergic reactions to the mite. It may take nearly 4-6 weeks to develop symptoms if you are infected with the mites for the first time as the body needs time to react to the substances released by the mites. However, symptoms develop within 1-2 days during the further infections. This is due to the learned immune response. Remedies such as cold compress, antihistamines and calamine lotion can help to relieve the symptoms.
Rashes and intense itching are the main symptoms of scabies.

Itching: It is a tingling sensation or irritation that may lead to scratching. Itching worsens especially during night time due to the warmth of the skin.

Rashes: An area of swollen or irritated skin is called as a rash. The scabies rash appears in the form of small red spots and is irritating. Scratching these rashes may lead to blisters or patches on the raw skin or crusty sores may develop.
Rashes are usually found all over the body apart from the head. The most common sites which can get affected include underarms, inside elbows, shoulder blades, groins, waist region, lower buttocks, knees, lower legs, soles of the feet, genital areas, and around the ankles. However, young children, older people and those with a compromised immune system can develop rashes on the head and neck. In men, one or more itchy, lumpy spots of 3-10 mm diameter can develop on the skin of penis and scrotum.

Burrows: The mites form irregular, thin burrows and rest in them. This burrowing action can cause blisters and itchy bumps. They appear more commonly in the folded skin, palms and soles, wrist and elbow, around nipples in women and around genitals in men.
Infants may develop blisters and pustules (blisters with pus) on the soles and feet.

Diagnosis
Scabies is diagnosed by the doctor by looking at the skin rashes and burrows in the skin. The mites and their eggs are very small in size and may require microscopic examination.

Precautions
  • Wash the clothes and bed sheets used by the infected person in hot water and dry       them thoroughly 
  • Cut your nails regularly and clean under them to remove the mites or eggs 
  • Avoid scratching and maintain the sores clean

Treating Scabies with Tetmosol Soap

Tetmosol is a Grade 1 medicated soap used for the treatment and prevention of scabies and the related skin problems such as itching, rashes, and redness of the skin.
In an experiment conducted by Dr. Mellanby and his colleagues, the incidence of scabies in a closed community of 400 persons was observed over a period of 31 weeks, during the last 13 of which 5 % Tetmosol soap was substituted for ordinary toilet soap.
During the 18 weeks in which ordinary soap was used the incidence of scabies rose from 16 cases (4%) to 37 (9.2%) and 21 new cases of scabies were recorded. At the end of this period 5% Tetmosol soap was substituted for ordinary soap, and during the remaining 13 weeks of observation the incidence of scabies fell from 37 cases (9.2%) to 2 (0.5%) and only one new case occurred. This case appeared during the first six weeks, no new case occurring during the last seven weeks of using the impregnated soap.
No cases of dermatitis were recorded among the 400 persons using 5 % Tetmosol soap for 13 weeks. It is concluded that 5°% Tetmosol soap acts as a prophylactic and curative agent against scabies and is an effective means of controlling the disease in an infected community.

How to use the soap?

Wet your body with lukewarm water and apply the soap all over the body. Pay attention to especially apply the soap on folds of the skin. Lather liberally and rinse with lukewarm water. After bathing, dry your skin either naturally or with a towel by ‘blotting’ action.
The soap is for external application only and is ideal for both adults and children.
The soap can be used on the entire body including the scalp. It has a mild aroma to keep your skin fresh and can be used as regular bath soap every day. Its use can be continued even after the skin infection is cured, as a preventive measure. The soap is unlikely to cause adverse effects with prolonged or over application.