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Scabies, caused by the Sarcoptes scabiei var hominis mite burrowing into the skin, is a highly contagious disease characterized by intense nocturnal itching. Its global impact is considerable, affecting more than 200 million individuals annually and posing significant challenges to healthcare systems worldwide. Transmission occurs primarily through direct skin‐to‐skin contact, contributing to its widespread prevalence and emergence as a substantial public health concern affecting large populations. This review presents consensus‐based clinical practice guidelines for diagnosing and managing scabies, developed through the fuzzy Delphi method by dermatology, parasitology, pediatrics, pharmacology, and public health experts. The presence of burrows containing adult female mites, their eggs, and excreta is the diagnostic hallmark of scabies. Definitive diagnosis typically involves direct microscopic examination of skin scrapings obtained from these burrows, although dermoscopy has become a diagnostic tool in clinical practice. Treatment modalities encompass topical agents, such as permethrin, balsam of Peru, precipitated sulfur, and benzyl benzoate. In cases where topical therapy proves inadequate or in instances of crusted scabies, oral ivermectin is recommended as a systemic treatment option. This comprehensive approach addresses the diagnostic and therapeutic challenges associated with scabies, optimizing patient care, and management outcomes. [ABSTRACT FROM AUTHOR]

Aim: Two major earthquakes occurred in Türkiye on sixth February, 2023. Tens of thousands of homeless earthquake victims settled in dormitories across the country. Because this increases the risk of parasitic skin infections, we screened the earthquake victims who were placed in the student dormitory just in case of scabies and the pediculosis capitis epidemic. Here, we describe our screening and prevention strategies for parasitic skin epidemics. Materials and Methods: We visited all rooms in the student dormitory and performed scabies and pediculosis capitis screening on February 15th to 24th, 2023. All the earthquake victims were questioned regarding signs and symptoms of scabies and pediculosis. If a person had symptoms such as night itching, he/she was examined with a dermoscope to evaluate burrows and lice. When the diagnosis was confirmed, treatment was given to those who were in the room and had contact with the people in the room. The prevalence of scabies and pediculosis was assessed at 5 months after screening. Results: A total of 1,580 earthquake victims were screened, of which 167 (10.5%) cases of scabies and 67 (4.2%) cases of pediculosis capitis were detected during the screening. Only 42 new cases of scabies and 1 new case of pediculosis were detected among earthquake victims within 5 months after screening. There was a significant decrease in the percentage of parasitic skin infections, ranging from 10.5% to 2.8% for scabies and from 4.2% to 0.06%; respectively. Conclusion: We believe that screening and detecting cases of scabies and pediculosis capitis and their contacts at an early stage prevented a possible epidemic in our city. [ABSTRACT FROM AUTHOR]

Individuals with skin disease may experience negative symptoms such as itching and pain, social stigma, and isolation. This cross-sectional study included 378 patients with skin diseases. The Dermatology Quality of Life Index (DLQI) score was found to be higher in individuals with skin disease. A high score indicates an impaired quality of life. Married people than single people, those who are 31 years old and older than those who are 30 years old and younger have higher DLQI scores. And also those who work than those who are unemployed, those who have diseases than those who do not have any other diseases, and those who smoke than those who are non-smokers have higher DLQI scores. In order to increase the quality of life of individuals with skin diseases, it is necessary to detect risky situations as well as symptom control and add psychosocial and psychotherapeutic interventions to the treatment plan. [ABSTRACT FROM AUTHOR]

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Byline: Aslan. Yürekli, Gürol. Aç?kgöz, ?lkay. Can, Ercan. Çal??kan, ?brahim. Yavan Sir, Cutis laxa is a rare connective tissue disorder, which may be inherited or acquired. The disease is characterized [...]

Byline: Ercan. Çaliskan, Mustafa. Tunca, Gürol. Açikgöz, Ercan. Arca, Aslan. Yürekli, Ahmet. Akar Background: Narrow band ultraviolet-B (NB-UVB) is now one of the most widely used modalities in the treatment [...]

After the transfer of military hospitals to the Ministry of Health, examinations of candidates for military personnel and those who are currently military personnel have started to be carried out by civilian doctors whether they are suitable for military service. Civilian doctors are unfamiliar with this practice and therefore hesitate to decide on some issues. The aim of this review is to interpret the skin and venereal diseases section of the Turkish Armed Forces (TAF) health competence regulation (HCR) and to assist to civilian physicians about regulation that they are foreigners. [ABSTRACT FROM AUTHOR]

Background: Narrow band ultraviolet-B (NB-UVB) is now one of the most widely used modalities in the treatment of psoriasis. However, despite its high efficacy, conventional Goeckerman treatment has fallen out of favor in recent years and some institutions are now using NBUVB with coal tar as their regimen.Objective: To evaluate the efficacy of NB-UVB, Goeckerman therapy and the effect of addition of retinoid to the treatment regimen in the treatment of psoriasis,.Patients and Methods: A retrospective analysis of 65 patients who underwent 81 courses of treatment in our department was undertaken. The efficacy of NB-UVB and Goeckerman therapy individually, and in combination with acitretin was assessed. Data were analysed to evaluate the contribution of acitretin to these modalities.Results: PASI-75 responses in the NB-UVB, retinoid+NB-UVB (re-NB), Goeckerman and retinoid+Goeckerman (re-Goeckerman) groups were achieved for 12 of 31 patients (39%), 13 of 21 patients (62%), 15 of 17 patients (88%) and 10 of 12 patients, respectively. The addition of acitretin to both modalities reduced both the number of sessions and the cumulative ultraviolet-B dose delivered.Limitations: This is a retrospective study, the patients were not randomized and the number of patients in the treatment groups were dissimilar.Conclusion: Goeckerman therapy is more effective than NB-UVB phototherapy. Although the addition of acitretin to both NB-UVB and Goeckerman therapy did not contribute to treatment outcomes in terms of PASI-75 responses, it enabled a reduction in UV exposures and enhanced efficacy. [ABSTRACT FROM AUTHOR]

Objective: Recently, there has been a serious increase in cases of scabies. The number of patients who do not benefit from the current treatment agents is also quite high. There are publications showing that scabies mites are permethrin-resistant and ivermectin. The treatment with scabicides usually lasts for several hours and usually the treatment is repeated for at least another time, which reduces the patient's compliance with the treatment, especially in pediatric patients where the toxic effects of the products are more pronounced. Therefore there is a need for treatment modalities that are less toxic to humans. To observe the in vitro effect of tea tree oil (TTO) on S. scabiei and to compare it with those of permethrin., Methods: Scabies specimens were removed from the patient and examined using a digital microscope. Parasites that were not damaged during sampling, and showed full motion were included in the study. No treatment was applied to the patients before removal of the mites. A total of 40 parasites were included in the study, with 10 parasites in each group. Immersion oil was applied to the control group, 5% permethrin to the first treatment group, while 5% and 25% TTO were used for the second and third study groups., Results: The mean survival time (ST) of scabies mites in the 5% permethrin group was 350±31.3 min, while this for 5% TTO group 180±15.1 min and 120±13.3 min in the 25% TTO group. The mean ST of the sarcoptes in the control group was 2.820±90 min. The mean ST between the control, permethrin and TTO groups was statistically significant (p=0.03). ST between 5% and 25% TTO groups was also statistically significant (p=0.04). There were no statistical differences between permethrin and 5% or 25% TTO., Conclusion: TTO has an acaricidal effect on S. scabiei . Although not used as the treatment of choise, it can be used as a supportive agent. Since it shows an acaricidal effect within a short time, it could be used as a shampoo or shower gel to enhance the acaricidal activity of another scabicide.

Recently, there have been increased scabies infestations but many patients do not respond to treatment. Clinicians are hesitant to use permethrin despite the fact that treatment failure may be due to noncompliance with the treatment rather than permethrin resistance. We aimed to investigate the permethrin resistance of mites collected from patients who have endured scabies for at least 3 months despite permethrin treatment. Parasites in patients who had scabies for at least 3 months despite permethrin treatment were collected. Only parasites that were not damaged during sampling, not fragmented and had full motion were included. Parasites were divided into four groups, each with 15 parasites. Immersion oil was dripped on the control group and 5%, 7%, and 10% permethrin was added to the study groups. The responses of the parasites to the applied agents were examined using a digital microscope. All solutions, except the control group, killed the scabies mite. The mean survival time (ST) in the 5%, 7%, and 10% permethrin groups was 360 ± 33.2, 340 ± 31.4, and 320 ± 30.2 min, respectively. There was no statistically significant difference in the mean ST in the permethrin groups. The mean ST in the control group was 46 ± 1.5 h. The mean ST difference between the control and permethrin-treated groups was significant (p = 0.03). There was no resistance to permethrin, which should maintain its place as first line treatment of scabies. Treatment noncompliance, rather than permethrin resistance, seems to be the underlying factor in the chronicity of scabies., (© 2021 Wiley Periodicals LLC.)