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Author12 Posts
  #1

A 18-year-old patient living at home with his parents presents with an intensely pruritic papulovesicular eruption involving the hands and wrists. Skin scrapings identify eggs and waste products of Sarcoptes scabiei.
Which of the following management options is most appropriate?

A. Treat the patient and symptomatic household members with permethrin
5% cream, and tell them to wash all clothing and linens with
which they have come in contact over the past 2 days
B. Treat the patient and all household members with permethrin 5%
cream, and tell them to wash all clothing and linens with which they
have come in contact over the past 2 days
C. Treat the patient and symptomatic household members with permethrin
5% cream, and tell them to wash all clothing and linens with
which they have come in contact over the past 10 days
D. Treat the patient and all household members with permethrin 5%
cream, and tell them to wash all clothing and linens with which they
have come in contact over the past 10 days
E. Treat the patient and symptomatic household members with lindane
lotion, and tell them to wash all clothing and linens with which they
have come in contact over the past 10 days


  #2

D



  #3

d


  #4

shocked


  #5

shocked B then?


  #6

yes, is B


Both permethrin 5% cream and lindane are effective therapies for scabies. However, treatment
involves more than just choosing a scabicidal agent. Because the skin flakes that are
shed by patients contain large numbers of mites, fomites can spread. The recommendation
is to treat all members of the household, not just those who are symptomatic. The organism’s
ability to survive for 48 hours away from a host dictates thorough laundering of
materials that might have been contaminated within the previous 2 days



  #7

Wow, only 2 days?


  #8

only 2?

i guess d


  #9

What do we use for pregnant pts? And when do we use systemic therapy? Thanks alot


  #10

we use lindane if the organism is resistant to premethrin .....otherwise most organisms in usa r not reisitant


  #11

sulfur ointment is the treatment of choice in pregnant and lactating women.


  #12

Good Q!





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