Is there a role for empiric scabies treatment in itchy patients without clear clinical signs of scabies?
Do you empirically treat itchy patients -with a non specific rash- for scabies without obvious clinical findings for scabies?
Answer from: at Academic Institution
Rarely, if ever unless a patient has exposure to a partner/family member with documented scabies or resides in a nursing home with an outbreak. Way too many "scabies" are diagnosed/treated by FPs, PAs, and NPs as part of a shotgun regimen.
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Answer from: at Community Practice
Never. Unless you want to lose your compass and begin down a path of constant guessing. Not a good place to find yourself as a dermatologist.
Answer from: at Community Practice
So we see scabies more often.
So I will treat a patient and family empirically if either they or I have a concern - with topicals.
Case of girl at University of Michigan who has been seen by derm and heme onc - and halfway through her chemo for leukemia cutis her rash was getting worse and unbea...