THE CLINICAL MANIFESTATIONS OF SCABIES IN PATIENTS PRESENTING TO DERMATOLOGY OUTPATIENTS DEPARTMENT AT AYUB TEACHING HOSPITAL, ABBOTTABAD

Authors

  • Durreshaehwar Arshad Pirzada Department of Dermatology, Ayub Medical College, Abbottabad-Pakistan
  • Sumaira Abdullah Akbar Niazi Teaching Hospital/Islamabad Medical & Dental College Islamabad-Pakistan
  • Maria Syed Shifa International Hospital Islamabad-Pakistan
  • Zarar Bin Jamil Department of Dermatology, Ayub Medical College, Abbottabad-Pakistan
  • Muhammad Khubaib Ullah Department of Dermatology, Ayub Medical College, Abbottabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-02-12981

Keywords:

Key words: scabies, eczematization, impetigo, papules, excoriations.

Abstract

Background: Scabies is a significant skin problem in the developing countries due to its increased incidence, complications and financial implications. The aim of this study is to highlight the endemicity of scabies in our population and its clinical manifestations including various complications. The study was conducted to determine the frequency and clinical manifestations of scabies in patients presented to dermatology outpatient department (opd), Ayub teaching hospital, Abbottabad. Methods: This cross-sectional study was conducted on 1404 patients suspected to have scabies. The demographic and clinical features of scabies presentation was recorded on a questionnaire by interview. The skin scrapings were observed under microscope after preparing 10% KOH mount. Results:  During the study period, out of 1404 patients, 339 patients with scabies were identified, with frequency 24.14%. The mean age calculated was 21.18 years. The frequency of scabies was 56% (190) in males while 44% (149) in females. All studied patients had pruritis (male =190. female =149). 89.1% had papules, 39.8% had excoriations on their bodies, 15.6% had impetiginization, 12.7% had eczema and only 3.2% of total had blisters. It was observed that complications like impetigo, eczema, blisters were more in patients living in unfavorable conditions. Conclusion: The results of the study showed that scabies is a common skin infestation in our population. It is recommended that awareness programs be implemented at primary healthcare level so that necessary measures can be taken to control this preventable and communicable disease.

Author Biography

Sumaira Abdullah, Akbar Niazi Teaching Hospital/Islamabad Medical & Dental College Islamabad-Pakistan

Assistant Professor Dermatology,Akbar Niazi Teaching Hospital,Islamabad medical and dental college.

References

Rohr BR, Hossler EW. Scabies (mite). PathologyOutlines.com website.https://www.pathologyoutlines.com/topic/skinnontumorscabies.html. Accessed November 1st, 2023.

Thomas C, Coates SJ, Engelman D, Chosidow O, Chang AY. Ectoparasites: Scabies. J Am Acad Dermatol. 2020 Mar;82(3):533-548. doi: 10.1016/j.jaad.2019.05.109. Epub 2019 Jul 13. PMID: 31310840..

Engelman D, Fuller LC, Steer AC; International Alliance for the Control of Scabies Delphi panel. Consensus criteria for the diagnosis of scabies: A Delphi study of international experts. PLoS Negl Trop Dis. 2018 May 24;12(5):e0006549. doi: 10.1371/journal.pntd.0006549. PMID: 29795566; PMCID: PMC5991412.

Sunderkötter C, Wohlrab J, Hamm H: Scabies: epidemiology, diagnosis, and treatment. Dtsch Arztebl Int 2021; 118: 695–704. DOI: 10.3238/arztebl.m2021.0296.

Rasti S, Nazeri M, Kaveh E, Talaee R, Abbas Mousavi S G. Frequency and Clinical Manifestations of Scabies in Suspected Patients Referred to Health Centers of Kashan, Central Iran (2010 - 2014). Zahedan J Res Med Sci. 2017;19(2):e7034

Khan RMA, Muzammil A, Siddiqi S, Qasim SM, Nadeem A. Scabies Surrepticius (Bullous Scabies) Presenting as Bullous Impetigo in a Child. J Coll Physicians Surg Pak 2022; 32(03):380-382.

Welch E, Romani L, Whitfeld MJ. Recent advances in understanding and treating scabies. Fac Rev. 2021 Mar 11;10:28. doi: 10.12703/r/10-28. PMID: 33817697; PMCID: PMC8009191.

Richards RN. Scabies: Diagnostic and Therapeutic Update. J Cutan Med Surg. 2021 Jan-Feb;25(1):95-101. doi: 10.1177/1203475420960446. Epub 2020 Sep 30. PMID: 32998532.

Al-Dabbagh J, Younis R, Ismail N. The current available diagnostic tools and treatments of scabies and scabies variants: An updated narrative review. Medicine (Baltimore). 2023 May 26;102(21):e33805. doi: 10.1097/MD.0000000000033805. PMID: 37233429; PMCID: PMC10219715.

Chandler DJ, Fuller LC. A Review of Scabies: An Infestation More than Skin Deep. Dermatology. 2019;235(2):79-90. doi: 10.1159/000495290. Epub 2018 Dec 13. PMID: 30544123.

Shoukat Q, Rizvi A, Wahood W, Coetzee S, Wrench A. Sight the Mite: A Meta-Analysis on the Diagnosis of Scabies. Cureus. 2023 Jan 30;15(1):e34390. doi: 10.7759/cureus.34390. PMID: 36874720; PMCID: PMC9976840.

Engelman D, Yoshizumi J, Hay RJ, Osti M, Micali G, Norton S, Walton S, Boralevi F, Bernigaud C, Bowen AC, Chang AY, Chosidow O, Estrada-Chavez G, Feldmeier H, Ishii N, Lacarrubba F, Mahé A, Maurer T, Mahdi MMA, Murdoch ME, Pariser D, Nair PA, Rehmus W, Romani L, Tilakaratne D, Tuicakau M, Walker SL, Wanat KA, Whitfeld MJ, Yotsu RR, Steer AC, Fuller LC. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020 Nov;183(5):808-820. doi: 10.1111/bjd.18943. Epub 2020 Mar 29. PMID: 32034956; PMCID: PMC7687112.

Bhat SA, Mounsey KE, Liu X, Walton SF. Host immune responses to the itch mite, Sarcoptes scabiei, in humans. Parasit Vectors. 2017 Aug 10;10(1):385. doi: 10.1186/s13071-017-2320-4. PMID: 28797273; PMCID: PMC5553898

Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office. J Am Board Fam Med. 2017 Jan 2;30(1):78-84. doi: 10.3122/jabfm.2017.01.160190. PMID: 28062820.

Additional Files

Published

2024-06-30