Paeds Cases · paediatric-dermatology
Scabies, lice and infestations — clinical case
A clinical case of classic scabies in a young child from a remote, crowded household, illustrating the 2020 IACS criteria, the permethrin regimen, household treatment and the link between scabies and streptococcal skin disease.
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RACP DCEABP General Pediatrics
Prompt
A 3-year-old boy from a remote community presents with a six-week history of intense nocturnal itch; examination reveals serpiginous burrows in the finger-webs and wrists, excoriated papules on the waist and genitalia, and honey-coloured crusting on several lesions. Both parents and his sister have begun to scratch over the last fortnight.
Case
A 3-year-old boy from a remote community presents with a six-week history of intense itching that is worst at night and after a hot bath. His parents describe him scratching until the skin bleeds and waking the household repeatedly. Over the last fortnight his mother, father and older sister have all begun to itch, though none has visible lesions yet. The family lives in a crowded household with extended relatives. He is otherwise well, afebrile and thriving. [1]
References3ShowHide
- [1]Engelman D, Fuller LC, Steer AC The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol, 2020.PMID 32034956
- [3]Currie BJ, McCarthy JS Permethrin and ivermectin for scabies. N Engl J Med, 2010.PMID 20181973
- [6]Aung PTZ, Cuningham W, Hwang K Scabies and risk of skin sores in remote Australian Aboriginal communities: A self-controlled case series study. PLoS Negl Trop Dis, 2018.PMID 30044780