Scabies Symptoms

What are the symptoms of scabies?

Itching

This is the main symptom of scabies. This is often severe and tends to be in one place at first (often the hands), and then spreads to other areas. The itch is generally worse at night and after a hot bath. You can itch all over, even with only a few mites, and even in the areas where the mites are not present.

Mite tunnels

These tunnels (burrows) may be seen on the skin as fine, dark, or silvery lines about 2-10 mm long. They most commonly occur in the loose skin between the fingers (the web spaces), the inner surface of the wrists, and the hands. However, they can occur on any part of the skin. You may not notice the burrows until a rash or itch develops.

Rash

The rash usually appears soon after the itch starts. It is typically a blotchy, lumpy red rash that can appear anywhere on the body. The rash is often most obvious on the inside of the thighs, parts of the tummy (abdomen) and buttocks, the armpits and around the nipples in women. The appearance of the rash is often typical. However, some people develop unusual rashes which may be confused with other skin conditions.

Scratching

Scratching due to intense itching can cause minor skin damage. In some cases the damaged skin becomes infected by other germs (bacteria). This is a secondary skin infection. If skin becomes infected with bacteria it becomes red, inflamed, hot, and tender.

Aggravation of pre-existing skin conditions

Scabies can worsen the symptoms of other skin conditions, particularly itchy skin problems such as eczema, or problems such as psoriasis. Scabies can be more difficult to diagnose in these situations too.

Note: the itch and rash of scabies are due to a reaction (allergy) to the mites (or their saliva, poo (faeces) or eggs). Scabies symptoms usually take 2-6 weeks to occur after you are first infected. The itch and rash can develop on any part of the skin, away from where the mites are actually burrowing. This means that you are infectious and can spread scabies before you even know you have scabies.

      The picture above shows some typical mite tunnels either side of the wrist skin crease. The picture below shows the typical rash that occurs as a reaction to the mites, in this case on the leg.
SCABIES -ON LEG

What are the symptoms of recurring infection?

The itch and rash normally take 2-6 weeks to develop when you have a first scabies infection. However, if you have scabies and it is cleared with treatment, and then you catch it again, the symptoms may be slightly different. In such instances the rash and itching develop much more quickly - often within a day or two. This is because the first scabies infestation has already sensitised your immune system. It then reacts much more quickly with this second bout of scabies.

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Author:
Dr Oliver Starr
Peer Reviewer:
Dr Hannah Gronow
Document ID:
4325 (v45)
Last Checked:
02 October 2017
Next Review:
01 October 2020

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.