One of the first symptoms to appear on the people infected with scabies is the ‘scabies rash’. It is similar to all the other symptoms of scabies and is caused due to the allergic reactions by the parasitic mites. Scabies mites’ secretions, faeces and eggs are the primary agents which produce irritation, discomfort, rash, scaling, severe itch, and blistering of the skin.
In a majority of cases, the scabies rash would share a lot of resemblances with the clinical manifestations of several different skin diseases such as dermatitis, chicken pox and eczema. In the absence to detect the presence of mites, scabies could perhaps point to many conditions other than scabies and would prevent the doctors from accurately diagnosing scabies. The unspecific character of such a rash is probably the main cause for deferred medical intervention. In a few cases, individuals with scabies would probably have developed complications such as crusting of the skin, bacterial infections and scaling, till the time they are identified with scabies.
Scabies rash affects wrists, the hands, toes, fingers, armpits, ankles, elbows, chest, buttocks and many more less exposed areas. In a more severe condition of scabies, the rash appears on the scalp and the face. When it comes to very young children and infants, the scabies rash is extremely severe and is often associated to intense itch and pruritus. Scabies rash is difficult to treat and is persistent. It is one of the first symptoms to appear and one of the last to leave. Even after scabies have been healed, the rash continues to exist and can be relieved with medications such as antihistamine and hydrocortisone.
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