What are the signs and symptoms of scabies infestation?
- Pimple-like irritations, burrows or rash of the skin, especially the webbing between the fingers; the skin folds on the wrist, elbow, or knee; the penis, the breast, or shoulder blades. The scalp is not usually affected.
- Intense itching, especially at night and over most of the body.
- Sores on the body caused by scratching. These sores can sometimes become infected with bacteria.
How did I get scabies?
By direct, prolonged, skin-to-skin contact with a person already infested with scabies. Contact must be prolonged (a quick handshake or hug will usually not spread infestation). Infestation is easily spread to sexual partners and household members. Infestation may also occur by sharing clothing, towels, and bedding.
Who is at risk for severe infestation?
People with weakened immune systems and the elderly are at risk for a more severe form of scabies, called Norwegian or crusted scabies.
How long will mites live?
Once away from the human body, mites do not survive more than 48-72 hours. When living on a person, an adult female mite can live up to a month.
Did my pet spread scabies to me?
No. Pets become infested with a different kind of scabies mite. If your pet is infested with scabies (also called mange), and they have close contact with you, the mite can get under your skin and cause itching and skin irritation. However, the mite dies in a couple of days and does not reproduce. The mites may cause you to itch for several days, but you do not need to be treated with special medication to kill the mites. Until your pet is successfully treated, mites can continue to burrow into your skin and cause you to have symptoms.
How soon after infestation will symptoms begin?
For a person who has never been infested with scabies, symptoms may take 4-6 weeks to begin. For a person who has had scabies, symptoms appear within several days. You do not become immune to an infestation.
How is scabies infestation diagnosed?
Diagnosis is most commonly made by looking at the burrows or rash. A skin scraping may be taken to look for mites, eggs, or mite fecal matter to confirm the diagnosis. If a skin scraping or biopsy is taken and returns negative, it is possible that you may still be infested. Typically, there are fewer than 10 mites on the entire body of an infested person; this makes it easy for an infestation to be missed.
Can scabies be treated?
Yes. Several lotions are available to treat scabies. Always follow the directions provided by your physician or the directions on the package insert. Apply lotion to a clean body from the neck down to the toes and left overnight (8 hours). After 8 hours, take a bath or shower to wash off the lotion. Put on clean clothes.
All clothes, bedding, and towels used by the infested person 2 days before treatment should be washed in hot water; dry in a hot dryer.
A second treatment of the body with the same lotion may be necessary 7-10 days later. Pregnant women and children are often treated with milder scabies medications.
Who should be treated for scabies?
Anyone who is diagnosed with scabies, as well as his or her sexual partners and people who have close, prolonged contact to the infested person, should also be treated. If your health care provider has instructed family members to be treated, everyone should receive treatment at the same time to prevent reinfestation.
How soon after treatment will I feel better?
Itching may continue for 2-3 weeks, and does not mean that you are still infested. Your health care provider may prescribe additional medication to relieve itching if it is severe. You will know that the medication has been effective if no new burrows or rashes should appear 24-48 hours after effective treatment.
A rash may persist even if all the mites are effectively killed. This may be due to a dermatitis, or inflammation of the layers of the skin. In these cases, a mild topical steroid may be recommended.
I personally see every new patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist. My goal is, quite simply, to provide the type of dermatology care which I would seek for my own family. This is a very important point, since physicians often use the phrase "Doctor's Doctor" to refer to those individuals who typically are selected by physicians themselves for personal care. I am confident that my practice fully meets that definition. This is the type of 5-star care and service that our patients expect, deserve and receive. I treat every patient the way I would want to be treated: with courtesy, dignity and respect. I carefully listen to their hair and skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results
Dr Gary sees every patient himself and believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.
A significant percentage of my Hair Loss,Dermatology and Cosmetic Dermatology Conditions are diagnosed on listening to the medical history of the patient alone, a further percentage on examination and the remainder on further detailed or careful examination and my patients teach me the rest. It is clear to me that history and examination skills remain at the very core of my dermatology practice. Older Dermatologists like myself rely on history and physical to a greater degree than the younger dermatologists. I think that the pendulum has swung too far towards all these cosmetic procedures where the younger dermatologists are just doing cosmetic procedures and not listening to their patients. This is an important point because if the Dermatologist does not spend enough time with the patient during the consult the cosmetic procedures will probably not work.
New York Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist with a New York City office in Manhattan, New York providing expert skin care, dermatology, and cosmetic dermatology services. A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology.
It is vital to undergo a full pre assessment to ensure that your skin type is fully assessed and to be accurate about your medical history. This particular procedure might not be the right treatment for you. It is crucial that the Doctor does a full History and Physical Examination and listens to your concerns. It very important to understand the individual needs of each patient because one procedure could work on one patient and then not another.
Each patient’s condition is carefully evaluated and the best treatment(s) are chosen to ensure an optimal outcome. Treatments are performed by Dr. Gary who has extensive cosmetic dermatology experience and training. This allows the Doctor to offer top-quality services in every area of the cosmetic dermatology field, while ensuring patients safety and satisfaction.
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Dr. Rothfeld, recognized by the by the entertainment industry of America as one of the best dermatologists in Manhattan, has organized a comprehensive skin care center offering personalized state of the art services including medical,pediatric, and cosmetic dermatology.
New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology, Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meatpacking District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the boroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients 7 days a week including Saturday and Sunday.
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