Šuga — разлика између измена

Klasifikacija	D ICD-10: B86; ICD-9-CM: 133.0; MeSH: D012532; DiseasesDB: 11841;
Spoljašnji resursi	MedlinePlus: 000830; eMedicine: derm/382 emerg/517 ped/2047; Patient UK: Šuga;

Šuga
Šuga
Sinonimi	Sedmogodišnji svrab
	Magnified view of a burrowing trail of the scabies mite. The scaly patch on the left was caused by scratching and marks the mite's entry point into the skin. The mite has burrowed to the top-right, where it can be seen as a dark spot at the end.
Specijalnosti	Infectious disease, dermatology
Simptomi	itchiness, pimple-like rash
Vreme pojave	2–6 weeks (first infection), ~1 day (subsequent infections)
Uzroci	Sarcoptes scabiei mite spread by close contact
Faktori rizika	Crowded living conditions (child care facilities, group homes, prisons), lack of access to water
Dijagnostički metod	Based on symptoms
Slična oboljenja	seborrheic dermatitis, dermatitis herpetiformis, pediculosis, atopic dermatitis
Lekovi	permethrin, crotamiton, lindane, ivermectin
Frekvencija	204 million / 2.8% (2015)
	[uredi na Vikipodacima]

Интерактиван преглед историје

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Верзија на датум 11. октобар 2021. у 19:55

Šuga (engl. Scabies od lat. scabere - češati,^[9] kolokvijalno poznata kao sedmogodišnji svrab,^[1]) zarazna je infekcija kože uzrokovana gnjidom Sarcoptes scabiei.^[1]^[3] Ovi paraziti su mali i obično nisu direktno vidljivi. Oni žive u koži domaćina, uzrokujući intenzivni alergijski svrab. Kod životinja je infekcija uzrokovana različitom vrstom šugarca. Svetska zdravstvena organizacija klasifikuje šugu kao bolest povezanu sa vodom.^[4] Bolest se može preneti sa objekata, mada do prenosa najčešće dolazi direktnim dodirom, i rizik od oboljevanja je proporcionalan dužini kontakta. Inicijalna infekcija traje četiri do šest nedelja nakon čega postaje simptomatična. Reinfekcija se može manifestovati u toku 24 sata. Pošto su simptomi alergijski, oni se zadržavaju znatno dugo nakon eradikacije parazita. Krustava šuga, ranije poznata kao Norveška šuga, je ozbiljnija forma infekcije koja je često povezana sa imunosupresijom.

The most common symptoms are severe itchiness and a pimple-like rash.^[2] Occasionally, tiny burrows may appear on the skin.^[2] In a first-ever infection, the infected person will usually develop symptoms within two to six weeks.^[2] During a second infection, symptoms may begin within 24 hours.^[2] These symptoms can be present across most of the body or just certain areas such as the wrists, between fingers, or along the waistline.^[2] The head may be affected, but this is typically only in young children.^[2] The itch is often worse at night.^[2] Scratching may cause skin breakdown and an additional bacterial infection in the skin.^[2]

Scabies is caused by infection with the female mite Sarcoptes scabiei var. hominis, an ectoparasite.^[3] The mites burrow into the skin to live and deposit eggs.^[3] The symptoms of scabies are due to an allergic reaction to the mites.^[2] Often, only between 10 and 15 mites are involved in an infection.^[2] Scabies is most often spread during a relatively long period of direct skin contact with an infected person (at least 10 minutes) such as that which may occur during sex or living together.^[3]^[10] Spread of the disease may occur even if the person has not developed symptoms yet.^[11] Crowded living conditions, such as those found in child-care facilities, group homes, and prisons, increase the risk of spread.^[3] Areas with a lack of access to water also have higher rates of disease.^[4] Crusted scabies is a more severe form of the disease.^[3] It typically only occurs in those with a poor immune system and people may have millions of mites, making them much more contagious.^[3] In these cases, spread of infection may occur during brief contact or by contaminated objects.^[3] The mite is very small and usually not directly visible.^[3] Diagnosis is based on the signs and symptoms.^[5]

A number of medications are available to treat those infected, including permethrin, crotamiton, and lindane creams and ivermectin.^[7] Sexual contacts within the last month and people who live in the same house should also be treated at the same time.^[11] Bedding and clothing used in the last three days should be washed in hot water and dried in a hot dryer.^[11] As the mite does not live for more than three days away from human skin, more washing is not needed.^[11] Symptoms may continue for two to four weeks following treatment.^[11] If after this time symptoms continue, retreatment may be needed.^[11]

Scabies is one of the three most common skin disorders in children, along with ringworm and bacterial skin infections.^[12] As of 2015, it affects about 204 million people (2.8% of the world population).^[8] It is equally common in both sexes.^[13] The young and the old are more commonly affected.^[5] It also occurs more commonly in the developing world and tropical climates.^[5] The word scabies is from лат. scabere, 'to scratch'.^[9] Other animals do not spread human scabies.^[3] Infection in other animals is typically caused by slightly different but related mites and is known as sarcoptic mange.^[14]

Znaci i simptomi

The characteristic symptoms of a scabies infection include intense itching and superficial burrows.^[16] Because the host develops the symptoms as a reaction to the mites' presence over time, typically a delay of four to six weeks occurs between the onset of infestation and the onset of itching. Similarly, symptoms often persist for one to several weeks after successful eradication of the mites. As noted, those re-exposed to scabies after successful treatment may exhibit symptoms of the new infestation in a much shorter period—as little as one to four days.^[17]

Svrab

In the classic scenario, the itch is made worse by warmth, and is usually experienced as being worse at night, possibly because distractions are fewer.^[16] As a symptom, it is less common in the elderly.^[16]

Osip

The superficial burrows of scabies usually occur in the area of the finger webs, feet, ventral wrists, elbows, back, buttocks, and external genitals.^[16] Except in infants and the immunosuppressed, infection generally does not occur in the skin of the face or scalp. The burrows are created by excavation of the adult mite in the epidermis.^[16] Acropustulosis, or blisters and pustules on the palms and soles of the feet, are characteristic symptoms of scabies in infants.^[18]

Scabies of the foot
Scabies of the arm
Scabies of the hand
Scabies of the finger

In most people, the trails of the burrowing mites are linear or S-shaped tracks in the skin often accompanied by rows of small, pimple-like mosquito or insect bites. These signs are often found in crevices of the body, such as on the webs of fingers and toes, around the genital area, in stomach folds of the skin, and under the breasts of women.^[18]

Symptoms typically appear two to six weeks after infestation for individuals never before exposed to scabies. For those having been previously exposed, the symptoms can appear within several days after infestation. However, symptoms may appear after several months or years.^[19]

Reference

^ ^а ^б ^в Gates RH (2003). Infectious disease secrets (2nd изд.). Philadelphia: Elsevier, Hanley Belfus. стр. 355. ISBN 978-1-56053-543-0.
^ ^а ^б ^в ^г ^д ^ђ ^е ^ж ^з ^и ^ј ^к „Parasites – Scabies Disease”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 2. 5. 2015. г. Приступљено 18. 5. 2015.
^ ^а ^б ^в ^г ^д ^ђ ^е ^ж ^з ^и ^ј ^к „Epidemiology & Risk Factors”. Centers for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 29. 4. 2015. г. Приступљено 18. 5. 2015.
^ ^а ^б ^в „WHO -Water-related Disease”. World Health Organization. Приступљено 10. 10. 2010.
^ ^а ^б ^в ^г „Scabies”. World Health Organization. Архивирано из оригинала 18. 5. 2015. г. Приступљено 18. 5. 2015.
^ Ferri FF (2010). „Chapter S”. Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd изд.). Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323076999.
^ ^а ^б „Parasites – Scabies Medications”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 30. 4. 2015. г. Приступљено 18. 5. 2015.
^ ^а ^б Vos, Theo; et al. (октобар 2016). „Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015”. Lancet. 388 (10053): 1545—1602. PMC 5055577 . PMID 27733282. doi:10.1016/S0140-6736(16)31678-6.
^ ^а ^б Mosby's Medical, Nursing & Allied Health Dictionary (4 изд.). Mosby-Year Book Inc. 1994. стр. 1395. ISBN 9780801672255.
^ Dressler C, Rosumeck S, Sunderkötter C, Werner RN, Nast A (новембар 2016). „The Treatment of Scabies”. Deutsches Ärzteblatt International. 113 (45): 757—762. PMC 5165060 . PMID 27974144. doi:10.3238/arztebl.2016.0757.
^ ^а ^б ^в ^г ^д ^ђ „Parasites - Scabies Treatment”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 28. 4. 2015. г. Приступљено 18. 5. 2015.
^ Andrews RM, McCarthy J, Carapetis JR, Currie BJ (децембар 2009). „Skin disorders, including pyoderma, scabies, and tinea infections”. Pediatric Clinics of North America. 56 (6): 1421—40. PMID 19962029. doi:10.1016/j.pcl.2009.09.002.
^ Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. (децембар 2012). „Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010”. Lancet. 380 (9859): 2163—96. PMC 6350784 . PMID 23245607. doi:10.1016/S0140-6736(12)61729-2.
^ Georgis' Parasitology for Veterinarians (10 изд.). Elsevier Health Sciences. 2014. стр. 68. ISBN 9781455739882.
^ „Scabies”. CDC Parasitology Diagnostic Web Site. Архивирано из оригинала 2009-02-20. г. Приступљено 2009-02-09.
^ ^а ^б ^в ^г ^д Hay RJ (2009). „Scabies and pyodermas--diagnosis and treatment”. Dermatologic Therapy. 22 (6): 466—74. PMID 19889132. S2CID 41376428. doi:10.1111/j.1529-8019.2009.01270.x.
^ Markell EK, John DC, Petri WH (2006). Markell and Voge's medical parasitology (9th изд.). St. Louis, Mo: Elsevier Saunders. ISBN 978-0-7216-4793-7.
^ ^а ^б „Scabies” (PDF). DermNet NZ. Архивирано из оригинала (PDF) 2009-03-27. г.
^ Bouvresse S, Chosidow O (април 2010). „Scabies in healthcare settings”. Current Opinion in Infectious Diseases. 23 (2): 111—8. PMID 20075729. S2CID 206001293. doi:10.1097/QCO.0b013e328336821b.

Spoljašnje veze

[Ga2003-1] а ^б ^в Gates RH (2003). Infectious disease secrets (2nd изд.). Philadelphia: Elsevier, Hanley Belfus. стр. 355. ISBN 978-1-56053-543-0.

[CDC2010Sym-2] а ^б ^в ^г ^д ^ђ ^е ^ж ^з ^и ^ј ^к „Parasites – Scabies Disease”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 2. 5. 2015. г. Приступљено 18. 5. 2015.

[CDC2010Epi-3] а ^б ^в ^г ^д ^ђ ^е ^ж ^з ^и ^ј ^к „Epidemiology & Risk Factors”. Centers for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 29. 4. 2015. г. Приступљено 18. 5. 2015.

[WHO-4] а ^б ^в „WHO -Water-related Disease”. World Health Organization. Приступљено 10. 10. 2010.

[WHO2015-5] а ^б ^в ^г „Scabies”. World Health Organization. Архивирано из оригинала 18. 5. 2015. г. Приступљено 18. 5. 2015.

[6] Ferri FF (2010). „Chapter S”. Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd изд.). Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323076999.

[CDC2010Tx2-7] а ^б „Parasites – Scabies Medications”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 30. 4. 2015. г. Приступљено 18. 5. 2015.

[GBD2015Pre-8] а ^б Vos, Theo; et al. (октобар 2016). „Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015”. Lancet. 388 (10053): 1545—1602. PMC 5055577 . PMID 27733282. doi:10.1016/S0140-6736(16)31678-6.

[Mosby-9] а ^б Mosby's Medical, Nursing & Allied Health Dictionary (4 изд.). Mosby-Year Book Inc. 1994. стр. 1395. ISBN 9780801672255.

[10] Dressler C, Rosumeck S, Sunderkötter C, Werner RN, Nast A (новембар 2016). „The Treatment of Scabies”. Deutsches Ärzteblatt International. 113 (45): 757—762. PMC 5165060 . PMID 27974144. doi:10.3238/arztebl.2016.0757.

[CDC2010Tx-11] а ^б ^в ^г ^д ^ђ „Parasites - Scabies Treatment”. Center for Disease Control and Prevention. 2. 11. 2010. Архивирано из оригинала 28. 4. 2015. г. Приступљено 18. 5. 2015.

[Clinic2009-12] Andrews RM, McCarthy J, Carapetis JR, Currie BJ (децембар 2009). „Skin disorders, including pyoderma, scabies, and tinea infections”. Pediatric Clinics of North America. 56 (6): 1421—40. PMID 19962029. doi:10.1016/j.pcl.2009.09.002.

[LancetEpi2012-13] Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. (децембар 2012). „Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010”. Lancet. 380 (9859): 2163—96. PMC 6350784 . PMID 23245607. doi:10.1016/S0140-6736(12)61729-2.

[14] Georgis' Parasitology for Veterinarians (10 изд.). Elsevier Health Sciences. 2014. стр. 68. ISBN 9781455739882.

[cdc-15] „Scabies”. CDC Parasitology Diagnostic Web Site. Архивирано из оригинала 2009-02-20. г. Приступљено 2009-02-09.

[Ray2009-16] а ^б ^в ^г ^д Hay RJ (2009). „Scabies and pyodermas--diagnosis and treatment”. Dermatologic Therapy. 22 (6): 466—74. PMID 19889132. S2CID 41376428. doi:10.1111/j.1529-8019.2009.01270.x.

[Markell9-17] Markell EK, John DC, Petri WH (2006). Markell and Voge's medical parasitology (9th изд.). St. Louis, Mo: Elsevier Saunders. ISBN 978-0-7216-4793-7.

[DermNet-18] а ^б „Scabies” (PDF). DermNet NZ. Архивирано из оригинала (PDF) 2009-03-27. г.

[Bouvresse-2010-19] Bouvresse S, Chosidow O (април 2010). „Scabies in healthcare settings”. Current Opinion in Infectious Diseases. 23 (2): 111—8. PMID 20075729. S2CID 206001293. doi:10.1097/QCO.0b013e328336821b.

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@@ Ред 1: / Ред 1: @@
+{{Short description|Ljudska bolest}}{{rut}}
-{{Infobox disease-lat
+{{Infobox medical condition (new)-lat
-| Name           = Šuga
-| Image          = Sarcoptes scabei 2.jpg
+| name            = Šuga
+| synonyms        = Sedmogodišnji svrab<ref name=Ga2003/>
-| Caption        = Uvećani snimak šugarca (-{''[[Sarcoptes scabiei]]''}-)
+| image           = Scabies-burrow.jpg
+| caption         = Magnified view of a burrowing trail of the scabies mite. The scaly patch on the left was caused by scratching and marks the mite's entry point into the skin. The mite has burrowed to the top-right, where it can be seen as a dark spot at the end.
+| field           = [[Infectious disease (medical specialty)|Infectious disease]], [[dermatology]]
+| symptoms        = [[itchiness]], [[papular|pimple]]-like rash<ref name=CDC2010Sym/>
+| complications   =
+| onset           = 2–6 weeks (first infection), ~1 day (subsequent infections)<ref name=CDC2010Sym/>
+| duration        =
+| causes          = ''[[Sarcoptes scabiei]]'' mite spread by close contact<ref name=CDC2010Epi/>
+| risks           = Crowded living conditions (child care facilities, group homes, prisons), lack of access to water<ref name=CDC2010Epi/><ref name=WHO/>
+| diagnosis       = Based on symptoms<ref name=WHO2015/>
+| differential    = [[seborrheic dermatitis]], [[dermatitis herpetiformis]], [[pediculosis]], [[atopic dermatitis]]<ref>{{cite book| vauthors = Ferri FF |title=Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders|date=2010|publisher=Elsevier/Mosby|location=Philadelphia, PA|isbn=978-0323076999|chapter=Chapter S|edition=2nd}}</ref>
+| prevention      =
+| treatment       =
+| medication      = [[permethrin]], [[crotamiton]], [[lindane]], [[ivermectin]]<ref name=CDC2010Tx2/>
+| prognosis       =
+| frequency       = 204 million / 2.8% (2015)<ref name=GBD2015Pre/>
+| deaths          =
+}}
+<!-- Definition and symptoms-->
+'''Šuga''' ({{jez-eng-lat|Scabies}} od {{jez-lat-lat|scabere}} - češati,<ref name="Mosby" /> kolokvijalno poznata kao ''sedmogodišnji svrab'',<ref name=Ga2003 />) zarazna je [[infekcija kože]] uzrokovana gnjidom -{''[[Sarcoptes scabiei]]''}-.<ref name=Ga2003>{{cite book| vauthors = Gates RH |title=Infectious disease secrets|year=2003|publisher=Elsevier, Hanley Belfus|location= Philadelphia|isbn=978-1-56053-543-0|pages=355|url=https://books.google.com/books?id=hYdw4vnanR0C&pg=PA355|edition=2nd}}</ref><ref name=CDC2010Epi/> Ovi [[parazitizam|paraziti]] su mali i obično nisu direktno vidljivi. Oni žive u koži domaćina, uzrokujući intenzivni alergijski svrab. Kod životinja je infekcija uzrokovana različitom vrstom šugarca. [[Svetska zdravstvena organizacija]] klasifikuje šugu kao bolest povezanu sa vodom.<ref name=WHO>{{cite web |url=http://www.who.int/water_sanitation_health/diseases/scabies/en/ |title=WHO -Water-related Disease |accessdate = 10. 10. 2010. |publisher=World Health Organization}}</ref> Bolest se može preneti sa objekata, mada do prenosa najčešće dolazi direktnim dodirom, i rizik od oboljevanja je proporcionalan dužini kontakta. Inicijalna infekcija traje četiri do šest nedelja nakon čega postaje simptomatična. Reinfekcija se može manifestovati u toku 24 sata. Pošto su simptomi [[alergija|alergijski]], oni se zadržavaju znatno dugo nakon eradikacije parazita. Krustava šuga, ranije poznata kao Norveška šuga, je ozbiljnija forma infekcije koja je često povezana sa [[imunosupresija|imunosupresijom]].
+The most common symptoms are severe [[itchiness]] and a [[papular|pimple]]-like rash.<ref name=CDC2010Sym/> Occasionally, tiny [[burrow]]s may appear on the skin.<ref name=CDC2010Sym/> In a first-ever infection, the infected person will usually develop symptoms within two to six weeks.<ref name=CDC2010Sym/> During a second infection, symptoms may begin within 24 hours.<ref name=CDC2010Sym/> These symptoms can be present across most of the body or just certain areas such as the wrists, between fingers, or along the waistline.<ref name=CDC2010Sym/> The head may be affected, but this is typically only in young children.<ref name=CDC2010Sym/> The itch is often worse at night.<ref name=CDC2010Sym/> Scratching may cause skin breakdown and an additional bacterial infection in the skin.<ref name=CDC2010Sym>{{cite web|title=Parasites – Scabies Disease|url=https://www.cdc.gov/parasites/scabies/disease.html|website=Center for Disease Control and Prevention|access-date=18 May 2015|date=November 2, 2010|url-status=live|archive-url= https://web.archive.org/web/20150502183303/http://www.cdc.gov/parasites/scabies/disease.html|archive-date=2 May 2015}}</ref>
+<!-- Cause, risk factors, and mechanism -->
+[[Датотека:Sarcoptes scabei 2.jpg|мини|250п|left|Uvećani snimak šugarca (-{''[[Sarcoptes scabiei]]''}-)]]
+Scabies is caused by infection with the female [[mite]] ''[[Sarcoptes scabiei var. hominis|Sarcoptes scabiei ''var.'' hominis]]'', an [[Parasitic nutrition#Ectoparasitism|ectoparasite]].<ref name=CDC2010Epi/> The mites burrow into the skin to live and deposit eggs.<ref name=CDC2010Epi/> The symptoms of scabies are due to an [[allergic reaction]] to the mites.<ref name=CDC2010Sym/> Often, only between 10 and 15 mites are involved in an infection.<ref name=CDC2010Sym/> Scabies is most often spread during a relatively long period of direct skin contact with an infected person (at least 10 minutes) such as that which may occur during sex or living together.<ref name=CDC2010Epi/><ref>{{cite journal | vauthors = Dressler C, Rosumeck S, Sunderkötter C, Werner RN, Nast A | title = The Treatment of Scabies | journal = Deutsches Ärzteblatt International | volume = 113 | issue = 45 | pages = 757–762 | date = November 2016 | pmid = 27974144 | pmc = 5165060 | doi = 10.3238/arztebl.2016.0757 }}</ref> Spread of the disease may occur even if the person has not developed symptoms yet.<ref name=CDC2010Tx/> Crowded living conditions, such as those found in child-care facilities, group homes, and prisons, increase the risk of spread.<ref name=CDC2010Epi/> Areas with a lack of access to water also have higher rates of disease.<ref name=WHO /> Crusted scabies is a more severe form of the disease.<ref name=CDC2010Epi/> It typically only occurs in those with a [[immunosuppression|poor immune system]] and people may have millions of mites, making them much more contagious.<ref name=CDC2010Epi/> In these cases, spread of infection may occur during brief contact or by contaminated objects.<ref name=CDC2010Epi/> The mite is very small and usually not directly visible.<ref name=CDC2010Epi/> Diagnosis is based on the signs and symptoms.<ref name=WHO2015/>
+<!-- Prevention and treatment -->
+A number of medications are available to treat those infected, including [[permethrin]], [[crotamiton]], and [[lindane]] creams and [[ivermectin]].<ref name=CDC2010Tx2>{{cite web|title=Parasites – Scabies Medications|url=https://www.cdc.gov/parasites/scabies/health_professionals/meds.html|website=Center for Disease Control and Prevention|access-date=18 May 2015|date=November 2, 2010|url-status=live|archive-url=https://web.archive.org/web/20150430075605/http://www.cdc.gov/parasites/scabies/health_professionals/meds.html|archive-date=30 April 2015}}</ref> Sexual contacts within the last month and people who live in the same house should also be treated at the same time.<ref name=CDC2010Tx/> Bedding and clothing used in the last three days should be washed in hot water and dried in a hot dryer.<ref name=CDC2010Tx/> As the mite does not live for more than three days away from human skin, more washing is not needed.<ref name=CDC2010Tx/> Symptoms may continue for two to four weeks following treatment.<ref name=CDC2010Tx/> If after this time symptoms continue, retreatment may be needed.<ref name=CDC2010Tx>{{cite web|title=Parasites - Scabies Treatment|url=https://www.cdc.gov/parasites/scabies/treatment.html|website=Center for Disease Control and Prevention|access-date=18 May 2015|date=November 2, 2010|url-status=live|archive-url=https://web.archive.org/web/20150428090806/http://www.cdc.gov/parasites/scabies/treatment.html|archive-date=28 April 2015}}</ref>
+<!-- Epidemiology -->
+Scabies is one of the three most common skin disorders in children, along with [[tinea|ringworm]] and [[pyoderma|bacterial skin infections]].<ref name=Clinic2009>{{cite journal | vauthors = Andrews RM, McCarthy J, Carapetis JR, Currie BJ | title = Skin disorders, including pyoderma, scabies, and tinea infections | journal = Pediatric Clinics of North America | volume = 56 | issue = 6 | pages = 1421–40 | date = December 2009 | pmid = 19962029 | doi = 10.1016/j.pcl.2009.09.002 }}</ref> As of 2015, it affects about 204&nbsp;million people (2.8% of the world population).<ref name=GBD2015Pre>{{cite journal | title = Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 | journal = Lancet | volume = 388 | issue = 10053 | pages = 1545–1602 | date = October 2016 | pmid = 27733282 | pmc = 5055577 | doi = 10.1016/S0140-6736(16)31678-6 | last1 = Vos | first1 = Theo | last2 = Allen | first2 = Christine | last3 = Arora | first3 = Megha | last4 = Barber | first4 = Ryan M. | last5 = Bhutta | first5 = Zulfiqar A. | last6 = Brown | first6 = Alexandria | last7 = Carter | first7 = Austin | last8 = Casey | first8 = Daniel C. | last9 = Charlson | first9 = Fiona J. | last10 = Chen | first10 = Alan Z. | last11 = Coggeshall | first11 = Megan | last12 = Cornaby | first12 = Leslie | last13 = Dandona | first13 = Lalit | last14 = Dicker | first14 = Daniel J. | last15 = Dilegge | first15 = Tina | last16 = Erskine | first16 = Holly E. | last17 = Ferrari | first17 = Alize J. | last18 = Fitzmaurice | first18 = Christina | last19 = Fleming | first19 = Tom | last20 = Forouzanfar | first20 = Mohammad H. | last21 = Fullman | first21 = Nancy | last22 = Gething | first22 = Peter W. | last23 = Goldberg | first23 = Ellen M. | last24 = Graetz | first24 = Nicholas | last25 = Haagsma | first25 = Juanita A. | last26 = Hay | first26 = Simon I. | last27 = Johnson | first27 = Catherine O. | last28 = Kassebaum | first28 = Nicholas J. | last29 = Kawashima | first29 = Toana | last30 = Kemmer | first30 = Laura | display-authors = 1 }}</ref> It is equally common in both sexes.<ref name=LancetEpi2012>{{cite journal | vauthors = Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, etal | title = Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 | journal = Lancet | volume = 380 | issue = 9859 | pages = 2163–96 | date = December 2012 | pmid = 23245607 | pmc = 6350784 | doi = 10.1016/S0140-6736(12)61729-2 | url = http://www.documentation.ird.fr/hor/fdi:010059240 }}</ref> The young and the old are more commonly affected.<ref name=WHO2015/> It also occurs more commonly in the [[developing world]] and [[tropical climate]]s.<ref name=WHO2015>{{cite web|title=Scabies|url=https://www.who.int/neglected_diseases/diseases/scabies/en/|website=World Health Organization|access-date=18 May 2015|url-status=live|archive-url=https://web.archive.org/web/20150518131204/http://www.who.int/neglected_diseases/diseases/scabies/en/|archive-date=18 May 2015}}</ref> The word scabies is from ''{{lang-la|scabere}}'', 'to scratch'.<ref name="Mosby" >{{cite book|title=Mosby's Medical, Nursing & Allied Health Dictionary|date=1994|publisher=Mosby-Year Book Inc|isbn=9780801672255|page=1395|edition=4}}</ref> Other animals do not spread human scabies.<ref name=CDC2010Epi>{{cite web|title=Epidemiology & Risk Factors|url=https://www.cdc.gov/parasites/scabies/epi.html|website=Centers for Disease Control and Prevention|access-date=18 May 2015|date=November 2, 2010|url-status=live|archive-url=https://web.archive.org/web/20150429174735/http://www.cdc.gov/parasites/scabies/epi.html|archive-date=29 April 2015}}</ref> Infection in other animals is typically caused by slightly different but related mites and is known as [[sarcoptic mange]].<ref>{{cite book|title=Georgis' Parasitology for Veterinarians|date=2014|publisher=Elsevier Health Sciences|isbn=9781455739882|page=68|edition=10|url=https://books.google.com/books?id=7CFLBAAAQBAJ&pg=PA68}}</ref>
+== Znaci i simptomi ==
+[[File:Sites of scabies.png|thumb|250п|right|Commonly involved sites of rashes of scabies<ref name=cdc/>]]
+The characteristic symptoms of a scabies infection include intense [[pruritus|itching]] and superficial burrows.<ref name=Ray2009 /> Because the host develops the symptoms as a reaction to the mites' presence over time, typically a delay of four to six weeks occurs between the onset of infestation and the onset of itching.  Similarly, symptoms often persist for one to several weeks after successful eradication of the mites.  As noted, those re-exposed to scabies after successful treatment may exhibit symptoms of the new infestation in a much shorter period—as little as one to four days.<ref name=Markell9 />
+=== Svrab ===
+In the classic scenario, the itch is made worse by warmth, and is usually experienced as being worse at night, possibly because distractions are fewer.<ref name=Ray2009 /> As a symptom, it is less common in the elderly.<ref name=Ray2009/>
+=== Osip ===
+The superficial burrows of scabies usually occur in the area of the finger webs, feet, ventral wrists, elbows, back, buttocks, and external genitals.<ref name=Ray2009/> Except in infants and the immunosuppressed, infection generally does not occur in the skin of the face or scalp. The burrows are created by excavation of the adult mite in the [[epidermis (skin)|epidermis]].<ref name=Ray2009/>  [[Acropustulosis]], or blisters and pustules on the palms and soles of the feet, are characteristic symptoms of scabies in infants.<ref name="DermNet"/>
+<gallery widths="250px" heights="180px">
+File:Acarodermatitis Fuß.jpg|Scabies of the foot
+File:Acarodermatitis Arm.jpg|Scabies of the arm
+File:Acarodermatitis Hand.jpg|Scabies of the hand
+File:Acarodermatitis Finger.jpg|Scabies of the finger
+</gallery>
+In most people, the trails of the burrowing mites are linear or S-shaped tracks in the skin often accompanied by rows of small, pimple-like mosquito or insect bites. These signs are often found in crevices of the body, such as on the webs of fingers and toes, around the genital area, in stomach folds of the skin, and under the breasts of women.<ref name=DermNet>{{cite web |url=http://www.dermnetnz.org/arthropods/pdf/scabies-dermnetnz.pdf |title=Scabies |work=DermNet NZ |url-status=dead |archive-url=https://web.archive.org/web/20090327120135/http://www.dermnetnz.org/arthropods/pdf/scabies-dermnetnz.pdf |archive-date=2009-03-27 }}</ref>
+Symptoms typically appear two to six weeks after infestation for individuals never before exposed to scabies. For those having been previously exposed, the symptoms can appear within several days after infestation. However, symptoms may appear after several months or years.<ref name=Bouvresse-2010 />
+== Reference ==
+{{reflist|refs=
+<ref name=cdc>{{cite web |url=http://www.dpd.cdc.gov/dpdx/HTML/Scabies.htm |title=Scabies |work=CDC Parasitology Diagnostic Web Site |access-date=2009-02-09 |url-status=dead |archive-url=https://web.archive.org/web/20090220123307/http://dpd.cdc.gov/dpdx/html/scabies.htm |archive-date=2009-02-20 }}</ref>
+<ref name=Ray2009>{{cite journal | vauthors = Hay RJ | title = Scabies and pyodermas--diagnosis and treatment | journal = Dermatologic Therapy | volume = 22 | issue = 6 | pages = 466–74 | year = 2009 | pmid = 19889132 | doi = 10.1111/j.1529-8019.2009.01270.x | s2cid = 41376428 }}</ref>
+<ref name=Markell9>{{cite book | vauthors = Markell EK, John DC, Petri WH |title=Markell and Voge's medical parasitology |publisher=Elsevier Saunders |location=St. Louis, Mo |year=2006 |isbn=978-0-7216-4793-7 |edition=9th}}</ref>
+<ref name=Bouvresse-2010>{{cite journal | vauthors = Bouvresse S, Chosidow O | title = Scabies in healthcare settings | journal = Current Opinion in Infectious Diseases | volume = 23 | issue = 2 | pages = 111–8 | date = April 2010 | pmid = 20075729 | doi = 10.1097/QCO.0b013e328336821b | s2cid = 206001293 }}</ref>
+}}
+== Spoljašnje veze ==
+{{Commonscat-lat|Scabies}}
+* [http://www.aad.org/skin-conditions/dermatology-a-to-z/scabies American Academy of Dermatology pamphlet on Scabies]
+* [http://www.headlice.org/faq/scabies.htm -{Scabies FAQ from the National Pediculosis Association}-]
+{{Medical condition classification and resources-lat
 | ICD10          = {{ICD10|B|86||b|85}}
 | ICD9           = {{ICD9|133.0}}
@@ Ред 14: / Ред 83: @@
 | MeshID         = D012532
 }}
+{{Authority control-lat}}
-'''Šuga''' ({{jez-eng-lat|Scabies}} od {{jez-lat-lat|scabere}} - češati,<ref>Mosby’s Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book Inc. {{page|year=1994|id=|pages=1395}}</ref> kolokvijalno poznata kao ''sedmogodišnji svrab'',<ref>{{cite book|last=Gates|first=Robert H.|title=Infectious disease secrets|year=2003|publisher=Elsevier, Hanley Belfus|location=Philadelphia|isbn=978-1-56053-543-0|url=https://books.google.com/?id=hYdw4vnanR0C&pg=PA355|edition=2.|pages=355–}}</ref>) zarazna je [[infekcija kože]] uzrokovana gnjidom -{''[[Sarcoptes scabiei]]''}-. Ovi [[parazitizam|paraziti]] su mali i obično nisu direktno vidljivi. Oni žive u koži domaćina, uzrokujući intenzivni alergijski svrab. Kod životinja je infekcija uzrokovana različitom vrstom šugarca.
-[[Svetska zdravstvena organizacija]] klasifikuje šugu kao bolest povezanu sa vodom.<ref name=WHO>{{cite web |url=http://www.who.int/water_sanitation_health/diseases/scabies/en/ |title=WHO -Water-related Disease |accessdate = 10. 10. 2010. |publisher=World Health Organization}}</ref> Bolest se može preneti sa objekata, mada do prenosa najčešće dolazi direktnim dodirom, i rizik od oboljevanja je proporcionalan dužini kontakta. Inicijalna infekcija traje četiri do šest nedelja nakon čega postaje simptomatična. Reinfekcija se može manifestovati u toku 24 sata. Pošto su simptomi [[alergija|alergijski]], oni se zadržavaju znatno dugo nakon eradikacije parazita. Krustava šuga, ranije poznata kao Norveška šuga, je ozbiljnija forma infekcije koja je često povezana sa [[imunosupresija|imunosupresijom]].
-== Reference ==
-{{reflist|30em}}
-== Spoljašnje veze ==
-{{Commonscat-lat|Scabies}}
-* [http://www.aad.org/skin-conditions/dermatology-a-to-z/scabies American Academy of Dermatology pamphlet on Scabies]
-* [http://www.headlice.org/faq/scabies.htm -{Scabies FAQ from the National Pediculosis Association}-]
 [[Категорија:Паразитске инфестације, убоди и угризи коже]]

Klasifikacija	D ICD-10: B86 ICD-9-CM: 133.0 MeSH: D012532 DiseasesDB: 11841
Spoljašnji resursi	MedlinePlus: 000830 eMedicine: derm/382 emerg/517 ped/2047 Patient UK: Šuga