Skin Infection Can Cause Kidney Disease

Scabies, also known as the “seven year itch”, is a highly infectious skin disease. It is one of the three most common skin disorders in children. Most common symptoms are severe itchiness specially  at night.  Pimple like rash, small pus filled bumps  are seen commonly around the wrist, in between fingers, waist line, armpit, groin, palm and sole and scalp in case of young children. Although they can occur at any place but mites (which causes the disease) prefer to reside in certain parts of the body mentioned above. Excessive scratching of the itchy rash may cause skin breakdown and bacterial infection. In severe cases, crust form from this lesion known as crusted scabies.  Crowded living condition like day care centers, overcrowded family, lack of personal hygin and close contact with affected person increases the risk of spread.  Other family members may be affected simultaneously (mother- child involvement is most frequent). Diagnosis is made clinically (no tests are required). A number of medicines specific for scabies are available like permethrine (mostly used), crotamiton, lindane, ivermectin etc depending on the age and severity. Along with specific therapy, anti-histamine and antibiotic may be used depending on the severity of itching and bacterial infection. All family members who are affected must be treated simultaneously. All clothing, bedding, towels used by the affected persons should be washed in boil water, dried properly and must be calendared. Otherwise the germ will remain alive and cure will be very difficult. Both prevention and treatment of scabies is very important because infected scabies may led to kidney disease.

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Dr. M. M. Haque

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