The most common infestation sites are the interdigital spaces of the fingers, the flexor surfaces of the wrists, the external male genitalia, the buttocks and the anterior axillary folds. The diagnosis can be made by identifying the mite under a microscope. The burrow may be visible to the naked eye and appears as a narrow slightly raised dark line, but often the burrows are obliterated by scratching long before a patient is seen by a physician. Scabies is often associated with poor hygiene and crowded conditions. T he mite Is endemic in many developing countries.
Transmission usually occurs through bodily contact with an infested host, clothing, or bed linen.
It is not known whether permethrin is excreted in human milk and consideration should be given to temporarily discontinuing nursing, should the mother require therapy.9 The cream should be applied over the entire body below the head. After being massaged into the skin, it must be removed by washing after 8 to 14 hours. Usually 30 g is sufficient for the average adult. One application is usually curative. They should be used with caution in infants and pregnant women.