Post scabies syndrome, also referred to as modular scabies, is a condition that persists even after you have received treatment for the skin condition. Just like scabies treatment, post scabies treatment is also uncomfortable and people start to believe that they have again contracted scabies the second time.
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What is Post Scabies Syndrome?
The dead mites may remain under your skin, even after the first treatment of scabies. It takes around six weeks for your body to completely eliminate the dead mites. When your body is eliminating these dead mites, you may experience allergic skin reactions even if the mites are no longer alive. Even during this time, you’ll feel intense itching.
The allergic skin reactions may include the development of tiny red bumps that appear similar to the bumps caused by active scabies mites. These small, hard nodules formed on your skin develop the condition, which is referred to as nodular scabies. These symptoms are very uncomfortable, but the good news is that mites are not contagious at this point.
Re-Infection of Scabies
Post scabies symptoms can be mistaken as a re-infection of scabies. This is because these symptoms are quite similar to the ones cause by active mites. In case of re-infection, you will usually see red fine lines along with red tiny bumps on the skin. These fine lines are actually the burrows formed by the mites while traveling beneath the skin. If you don’t see these red lines on your skin, there are chances that no living mites are present within your skin.
If the discomfort continues to persist, you need to see your doctor immediately for diagnosis. It’s essential to get effective treatment immediately, as this is terribly uncomfortable and highly contagious skin condition.
Treatment for Post Scabies Syndrome
Treatment for post scabies syndrome is to relieve the uncomfortable symptoms, such as intense itching and rashes. However, the duration of the post scabies allergic reaction cannot be reduced but using topical steroids or intralesional steroids, you can get some relief. Although steroidal creams are used to treat post scabies syndrome, their response is less than satisfactory and relapses are frequent.
But topical tacrolimus, a calcineurin inhibitor, is quite effective in the treatment of nodular scabies. It binds to the FK506-binding protein so that it further inhibits calcineurin and prevent the activation of NFAT (Nuclear Factor of Activated T cells). This helps in blocking transcription of the gene encoding IL-2 and blocks T-cell activation and cytokine production. Besides that, tacrolimus inhibits the release of histamine from mast cells as well as basophils. Reportedly this topical cream is also useful in the treatment of a number of inflammatory cutaneous disorders such as vitiligo, oral erosive lichen planus, psoriasis, morphea, circinate balanitis, and seborrheic dermatitis.
You can treat post scabies itching in a similar way you treat itching caused by active scabies infection. Apart from tacrolimus cream, you can rely on Dr. Scabies cream that contains natural ingredients to soothe the itching and other allergic reactions to scabies. If followed as per the instructions, it will provide fast results in treating the post scabies symptoms.
You can also take cool baths with baking soda or colloidal oatmeal added to the water for reducing the intense itching. The itching during scabies often seems to worsen at night, so it’s better to take a cool shower before bedtime. You can also apply calamine lotion or other natural product like tea tree oil or neem oil to provide instant relief to the itching and burning sensation.