Norwegian scabies - symptoms and treatment, transmission routes, signs

When a patient is diagnosed with a rather frightening diagnosis - Norwegian scabies, he begins to panic because of lack of information about this disease. The disease itself, scabies is caused by a parasitic lesion of the skin. The characteristic signs of the disease are the so-called "strokes" on the skin. They are laid by females of itchy itch( the main pathogen) for laying eggs. Unfortunately, the microscopic dimensions of the parasite do not allow them to be examined by the patient, however, this can be done in a laboratory using a microscope.

Therefore, very often among patients there is an erroneous opinion that Norwegian scabies are provoked by the defeat of a special kind of mite( Norwegian).This is a wrong opinion. The causative itch is also the causative agent of Norwegian scabies. The only difference between the disease and the usual type of scabies is the difficulty of flow and the formation of subcutaneous crusts.

The name got the disease from the place of its first manifestation( at the end of the 19th century, a severe form of scabies was found in Norwegian shelters).Consequently, the term has taken root in modern medicine.

Symptoms

This type of scabies lesions differsan increased level of contagiosity, but, in spite of this, is extremely rare. The main carriers of this disease are people who have an antisocial lifestyle. Further, drug addicts, people with mental retardation, with weakened immunity or with a minimum level( for HIV infection), patients with tuberculosis and rheumatoid ailments fall into the group of risk.

Attention! Patients who take corticosteroid therapy suffer from a complicated course of Norwegian scabies.

Symptomatic of Norwegian scabies is characterized by the formation of specific crusts on the surface of the skin that is characterized by greenish-yellow or brownish color, with purulent filling. Their thickness can vary from a few millimeters to a couple of centimeters. In this case, such crusts are localized throughout the body, beginning with the head.

Help! With the defeat of Norwegian mange scabies, the formation of purulent crusts is not excluded even on the penis.

Scabular lesion with a characteristic crust on the skin is easily confused with psoriasis, eczema and other skin lesions that are characteristic of cancer.

With regard to the main symptom of scabies - severe itching, it can appear slightly, and sometimes completely absent. However, if the number of parasitic individuals reached one million, the itching, naturally, will manifest itself. Such a massive parasitic lesion is defined as sensory anesthesia.

Common signs of

In some areas of the body, the crusts can merge into a solid carapace, the thickness of which can reach three centimeters. At the same time, in the formed scales, itching is visible in several floors. Additional symptoms, indicative of Norwegian scabies, are expressed in the following signs:

• , when the skin is peeled from the skin, it is possible to see the looseness of the tissue and bleeding;
• itching is absent or manifests only slightly;
• hair on the body becomes lean;
• , dystrophic changes occur in the nail plates;
• for a person becomes characteristic of a specific odor in the form of an acid test;
• on palpation, the lymph nodes increase;
• infectious lesions can be localized in any part of the body.

It's dangerous! HIV-infected people suffer from bacteremia when they suffer from Norwegian scabies, that is, a parasitic infection penetrates the bloodstream. The quantitative index of scabies jelly increases at times.

It should be noted that this disease is one of those that can lead to death in the absence of competent and timely treatment. Therefore, therapy should begin when the first symptoms are identified.

Principles of diagnosis

A correctly diagnosed diagnosis is the key to further successful treatment. Therefore, it is very important to confirm the presence of scabies in time. Diagnosis mainly occurs on the basis of a visual examination of the patient with subsequent laboratory tests. To accurately confirm the patient do scraping( also preferably using a thin needle to remove the parasite).

Before the cut of the affected skin, the cover is compulsorily treated with a solution of lactic acid( at least 40%).Then the seized material is studied in detail under a microscope. Differential diagnostics with a number of other skin lesions( eczema, dermatitis, psoriasis) is mandatory.

Transmission routes

Norwegian scabies are very often defined as a cortical ailment, it is transmitted in the following ways:

1. Contact .It is one of the most common ways of infection. Infection with parasites occurs with direct contact with the patient.
2. Household .This way of transmission is dangerous when you come into contact with other people's things, most often people become infected in public places when they come into contact with household objects( for example, hotels, rest places).
3. Sexual .With close contact of the bodies it is easy to get infected with itch itching, while the parasite differs hyperactivity precisely at night.

Help! There is information that this parasite can get infected from pets, this lesion is defined as a pseudo-kidney. This is explained by the fact that parasites living in the skin of an animal are not dangerous in this case for humans.

Principles of treatment

Because the disease is complicated enough, it is treated exclusively in a clinical setting. The use of traditional medicine can only exacerbate the course of the disease, and lead to irreparable complications. In this case, treatment begins with the isolation of the patient in a separate hospital box.

The treatment plan consists of two consecutive stages:

• , the cortical formation is first removed on the skin;
• application of antiparasitic therapy( repeated several times).

This is important! If the patient is in contact with his loved ones, then mandatory preventive therapy is indicated to him.

The main drugs

Product name	Image	How to use
Benzyl benzoate		This product can be used both as an emulsion and as a conventional ointment. Before use, the preparation must be shaken, and then evenly distributed throughout the skin. Please note that only affected areas can not be treated. The duration of rubbing the emulsion is 5 days. After each application to the skin, the patient should change the bed linen and bed linen. In case of complications of cortical ailment, an additional course of therapy may be required.
Pyrethrins		These are special medicinal substances that are constituents of insecticidal sprays. They differ in the absence of toxic effects on the body, so they are most often used( MediFox, Spregal).It is used strictly according to the instructions and with the permission of the doctor
Yakutin		This remedy is prescribed if there is no alternative. The risk of using the drug is to affect the nervous system. Before applying the product, you can not take a shower, it is washed off the skin only after six hours. Contraindicated in the use of pregnant women and epileptics
Sulfur ointment		The most common treatment for any kind of scabies. Contraindication to the use of the drug is renal failure, because due to rapid absorption, the drug affects the kidneys. Apply ointment once a day before going to bed for one week

With Norwegian scabies, self-medication and folk medicine are contraindicated, since a neglected form of pathology can lead to death. Treatment is carried out exclusively in a hospital setting under the supervision of a physician. Timely diagnosis is mandatory, because it is possible to misuse the therapy against psoriasis or eczema due to the similarity of visual signs. It is also very important to carry out preventive activities for each of the family members who have been in close contact with patients or his personal belongings.

You can find out about different kinds of scabies lesion here:

Video - Scabies of scabies: typical, clean, complicated, Norwegian, pseudocystic, without moves