Scabies is a contagious skin condition caused by the Sarcoptes scabiei mite. Although scabies is often associated with an itchy rash on specific parts of the body, such as the wrists, elbows, armpits and waist, it can also occur on the scalp. However, scabies on the scalp can be more difficult to recognize due to the similarity of the symptoms to other conditions such as head lice. In this article we take a closer look at scabies on the scalp, how to recognize it and what you can do about it.
Symptoms of scabies on the scalp
Scabies on the scalp, also known as "head scabies" or "scabies capitis," can cause some specific symptoms. Here are the main signs to look out for:
- Itching: As with other forms of scabies, intense itching is the most common symptom. This itching is caused by an allergic reaction to the mites, their eggs and feces found in the skin. The itching can worsen especially at night and lead to sleep problems.
- Skin rash: Small red bumps, pimples and sometimes blisters appear on the scalp. These can be itchy and painful. The rash can spread to the neck, ears and behind the ears.
- Scabs and sores: Scratching the itchy areas can lead to scabs and sores on the scalp. These sores can become infected by bacteria as a result of scratching.
While these symptoms may indicate scabies on the scalp, it is important to note that they can also be present with other conditions such as head lice, seborrheic dermatitis, or dermatitis. Therefore, a correct diagnosis by a medical professional is essential.
Diagnosis of scabies on the scalp
To correctly diagnose scabies on the scalp, a doctor or dermatologist will perform a physical examination. During this examination, the doctor will look for symptoms such as itching, rash, scabs and sores on the scalp. In some cases, a microscopic examination of a skin scraping may be performed to confirm the presence of scabies mites, eggs, or mite feces.
Because the symptoms of scabies on the scalp are similar to other conditions, an accurate diagnosis can sometimes be difficult. The doctor may recommend additional tests or investigations to rule out other possible causes.
Treatment of scabies on the scalp
If scabies is diagnosed on the scalp, timely treatment is essential to prevent further spread and complications. Treatment usually involves the use of medications prescribed by a doctor, such as special creams or lotions containing permethrin. These medications are effective in killing scabies mites and their eggs.
Here are the steps for treating scabies on the scalp:
- Consult a doctor: Seek medical attention and have the condition properly diagnosed. The doctor will suggest the appropriate treatment plan.
- Apply medication: Apply the prescribed medication liberally to the scalp and hair. Follow the doctor's instructions carefully.
- Treating family and close contacts: Because scabies is contagious, family members and people you have had close contact with should also be treated, even if they are not showing symptoms.
- Washing infected clothing and bedding: Wash all clothing, towels and bedding you have come into contact with at a high temperature to kill possible mites.
- Combing the hair: Some doctors recommend combing dead mites and eggs from the hair after the treatment. Use a fine-toothed comb for this.
- Avoid Scratching: Although it may be difficult, try to avoid scratching the itchy areas on the scalp as scratching can cause sores and infections.
- Retreatment: In some cases, retreatment may be necessary after one or two weeks, depending on the severity of the infection.
Prevention of scabies on the scalp
Preventing scabies on the scalp starts with good hygiene practices. Avoid close contact with infected people, especially during activities such as sharing clothes, towels or bedding. Washing your hands regularly is also essential to prevent contamination.
If you suspect you have come into contact with someone with scalp scabies or you begin to experience symptoms, it is crucial to seek medical attention quickly. The sooner the condition is diagnosed and treated, the faster you can recover and prevent further spread.
Scabies on the scalp is a contagious skin condition with symptoms such as itching, rash, scabs and sometimes hair loss. A correct diagnosis by a doctor is vital to receiving the right treatment. With medication and hygiene measures, scabies mites can be effectively eliminated, and recovery is possible. Avoiding close contact with infected people and good hygiene are key factors in the prevention of scabies on the scalp.