TY - JOUR
T1 - Dermatologic infestations
AU - Shmidt, Eugenia
AU - Levitt, Jacob
PY - 2012/2/1
Y1 - 2012/2/1
N2 - Head lice are transmitted by head to head contact. Optimal therapy includes malathion lotion 0.5% repeated in one week left on for 30minutes to 8hours. Spinosad topical suspension 0.9% repeated in one week left on for 10minutes is another option. Scabies is transmitted mainly by direct contact but also via heavily infested fomites due to crusted scabies. Permethrin 5% cream to the body repeated in four days is often sufficient; however, scalp treatment with malathion lotion 0.5% is helpful in crusted scabies and in infested children. Oral ivermectin 200mcg/kg is another option, repeated in four days. For scabies more than lice, fomites should be placed in a drier at 60°C for 10minutes to kill the arthropods. Treatment of close contacts in both cases will control outbreaks and repeated infestations. Both have been associated with methicillin-resistant Staphylococcus aureus infection. Bed bugs are a common cause for papular urticaria. Identification of the insect in the mattress or bedding confirms the diagnosis. Prevention involves encasing the mattress in a sealed plastic cover and extermination. Delusions of parasitosis is a diagnosis of exclusion that is best treated with an antipsychotic.
AB - Head lice are transmitted by head to head contact. Optimal therapy includes malathion lotion 0.5% repeated in one week left on for 30minutes to 8hours. Spinosad topical suspension 0.9% repeated in one week left on for 10minutes is another option. Scabies is transmitted mainly by direct contact but also via heavily infested fomites due to crusted scabies. Permethrin 5% cream to the body repeated in four days is often sufficient; however, scalp treatment with malathion lotion 0.5% is helpful in crusted scabies and in infested children. Oral ivermectin 200mcg/kg is another option, repeated in four days. For scabies more than lice, fomites should be placed in a drier at 60°C for 10minutes to kill the arthropods. Treatment of close contacts in both cases will control outbreaks and repeated infestations. Both have been associated with methicillin-resistant Staphylococcus aureus infection. Bed bugs are a common cause for papular urticaria. Identification of the insect in the mattress or bedding confirms the diagnosis. Prevention involves encasing the mattress in a sealed plastic cover and extermination. Delusions of parasitosis is a diagnosis of exclusion that is best treated with an antipsychotic.
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U2 - 10.1111/j.1365-4632.2011.05191.x
DO - 10.1111/j.1365-4632.2011.05191.x
M3 - Review article
C2 - 22250620
AN - SCOPUS:84855925629
VL - 51
SP - 131
EP - 141
JO - International Journal of Dermatology
JF - International Journal of Dermatology
SN - 0011-9059
IS - 2
ER -