How to cure a skin mite? - briefly
Effective treatment involves applying a prescription scabicide such as permethrin 5 % cream to the affected area for the recommended duration, then washing clothing and bedding at high temperatures. In severe cases, oral ivermectin may be prescribed under medical supervision.
How to cure a skin mite? - in detail
Skin mites, such as Sarcoptes scabiei or Demodex species, invade the epidermis and cause intense itching, erythema, and secondary infection. Effective eradication requires accurate identification, targeted medication, and environmental decontamination.
Diagnosis relies on clinical examination of characteristic lesions and microscopic confirmation from skin scrapings. When the presentation is atypical, dermoscopy or skin biopsy may be employed to distinguish mite infestation from dermatitis or fungal infection.
Pharmacologic treatment consists of two categories:
- Topical agents – permethrin 5 % cream applied to the entire body from neck down, left for 8–12 hours, then washed off; repeat after 24 hours. Benzyl benzoate 25 % lotion or sulfur ointment 5–10 % are alternatives for patients unable to tolerate permethrin.
- Oral medications – ivermectin 200 µg/kg as a single dose, repeated after 7 days; higher or multiple doses may be required for crusted scabies. Albendazole 400 mg daily for three days is an option when ivermectin is contraindicated.
Adjunctive measures support drug efficacy:
- Wash all clothing, bedding, and towels in hot water (≥60 °C) and dry on high heat for at least 30 minutes.
- Seal non‑washable items in airtight bags for a minimum of 72 hours to deprive mites of a host.
- Apply soothing lotions containing calamine or colloidal oatmeal to reduce itching and prevent excoriation.
- Treat household contacts simultaneously, even if asymptomatic, to interrupt transmission.
Follow‑up evaluation should occur 2–4 weeks after therapy completion. Persistent lesions warrant repeat microscopy and possible escalation to combination therapy (topical plus oral). Long‑term prevention includes regular skin hygiene, avoidance of close contact with infected individuals, and prompt treatment of any recurrent infestation.