How is scabies presentation and tx modality?

• Scabies treatment includes a two-pronged approach. The patient and the environment must both be treated. Two topical treatments separated one week apart with a prescription anti-scabietic medication are recommended • Apply topical medication from the neck down and leave on overnight; for infants and the elderly, include the face and scalp • Itch and lesions can persist for 2-4 weeks after successful treatment, referred to as “post-scabietic” pruritus or dermatitis. This is not a treatment failure, rather it represents the body’s response to dead mites