What is scabies?
The Centre for Health Protection describes it as a skin disease caused by the scabies mite, a parasite which burrows into the skin, then lives and breeds there. It spreads readily in crowded settings.
That distinction matters: scabies is not the skin reacting to something but a living parasite in the skin. The approach is therefore the opposite of eczema — eczema is controlled by moisturising and avoiding triggers, while scabies requires eliminating the mite itself and dealing with contacts at the same time.
How is it told apart from eczema?
The Centre notes the main symptom is intense itching, particularly severe at night, with a rash, linear burrow marks or small blisters commonly appearing in the finger webs, on the wrists, elbows and armpits.
| Feature | Scabies | Eczema |
|---|---|---|
| Cause | A mite burrowing into the skin to live and breed | An inflammatory reaction of the skin |
| Contagious | Yes — by direct contact and contaminated items | No |
| The itch | Intense, and worst at night | Itch with dryness, flaking and recurrence |
| Household | Family, sexual partners and close contacts should be treated at the same time | No treatment of others needed |