Scabies is an ectoparasitic skin infection with the mite sarcoptes scabei var. humanus. First described 1687 with the organism responsible being identified in the 18th century, this intensely pruritic disease was named from the Latin word for: scratch.” Scabere. Scabies affect people of all races and age groups and the geographic distribution is worldwide. It is spread by skin to skin, via both sexual and nonsexual contact, and in some cases as fomites.
Clinical presentation or sign and symptoms of scabies
Patients with scabies complain of an intensely pruritic rash. The pruritus may be more severe at night and may affect any part of the body, but the most commonly affected areas are the interdigital web spaces, axillae, genital area, buttocks, and breasts.
Pathophysiology of scabies
Sarcoptes scabiei var. hominis is a mite, approximately 0.5 mm in length, that cause human scabies. The female mite burrows under the skin and produces eggs and scybala.
A type 4 delayed hypersensitivity reaction occurs after approximately 1 month in unsensitized patients or within hours in sensitized patients. This leads to the severe pruritus that is characteristic of scabies infection.
Diagnosis of scabies
If scabies is suspected, the diagnosis can be confirmed by opening of a burrow or other skin lesion with a scalpel blade. The contents are placed on a slide, and a drop of oil is applied. Diagnosis is confirmed with identification of mites, eggs, or scybala (feces) on microscopic examination.
Complications of scabies
If untreated for several weeks or months, various complications can occur.
- Scratch dermatitis frequently of frank eczematous type.
- Bacterial infection
- Urticaria-occasional complication.
- Nummular dermatitis
- Glomerulonephritis in infants and children.
Homeopathic treatment of scabies
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat Scabies but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat scabies that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of scabies:
Arsenic Album, Carbo Veg, Causticum, Psorinum, Sulphur, Selenium, Sepia, Silicea, Antim Crud, Dulcamara, Cuprum Met, Hepar Sulph, Calcaria Carb, Hepar Sulph, Kreosote, Clematis, Sulphuric acid, Lycopodium, Mercurius, Cantharis, Lachesis, Squilla, Graphites, Mezerium, Kali Sulph, Cantharis, Sabadilla, Zincum Met, Phosphoric Acid, Natrum Carb, Ledum Pal, Petroleum and many other medicines.