In order to make a Norwegian scabies diagnosis, the healthcare provider will ask a number of questions, perform a physical exam, and possibly order certain tests.
A diagnosis is most commonly made by looking at the burrows or rash. The healthcare provider will pay particular attention to where the rash is located, its appearance, and the possible symptoms of Norwegian scabies the person is experiencing. A diagnosis can be confirmed by taking a skin scraping and seeing mites, eggs, or mite fecal matter when the scraping is looked at under a microscope.
The goals of treatment for Norwegian scabies are to:
- Kill the Norwegian scabies mites (Sarcoptes scabiei)
- Treat any family members who have been in close contact with the infected person
- Prevent the scabies from returning.
Both the patient and family members may be treated with the same medicine (see Scabies Treatment). In other cases, ivermectin, which is taken orally, may be given.
It is important that all scabies eggs and mites be killed. So all clothes, bedding, and towels used by the infested person should be washed in hot water and dried in a hot dryer two days before scabies treatment begins. No special cleaning is necessary for coats, furniture, rugs, floors, and walls.