Scabies
We suggest that all patients use Permethrin (Lyclear dermal cream) because of the emergence of resistance to other treatments.
Usually a single application is sufficient, but for severe cases, a second application a week later may be indicated.
Hints for Diagnosis
In any itchy patient with a rash, think of scabies. Look for tracks
Ask for a history of contacts with itchy rashes.
Look between the fingers, wrists, angles and feet for burrows. The soles of the feet are a common site for scabies in children/infants.
Check the nipples, or penis and scrotum, for nodules – almost diagnostic of scabies.
See Patient Information Pages for the management of scabies. (Link from the main Dermatology Web page)