Medical College of Wisconsin
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Severe pediculosis capitus: a case of "crusted lice" with autoeczematization. Dermatol Online J 2016 Mar 16;22(3) PMID: 27136626

Pubmed ID

27136626

Abstract

Pediculosis humanus capitus infestations are common and classically present with intense pruritus of the scalp. Although many treatment options are available, lice are becoming more resistant to conventional therapies and severe clinical presentations are bound to become more prevalent. We present a case of treatment-resistant pediculosis capitus resulting in diffuse autoeczematization of the torso and extremities and severe crusting and scaling of the scalp, which we called "crusted lice." This eruption differs from the well-described id reaction known as "pediculid" and represents a more dramatic manifestation of rampant infestation. This paper provides an up-to-date review of treatment options available for pediculosis humanus capitus, including newer medications like the ones that eventually led to resolution of our patient's extreme infestation.

Author List

Connor CJ, Selby JC, Wanat KA

Author

Karolyn A. Wanat MD Associate Professor in the Dermatology department at Medical College of Wisconsin




Scopus

2-s2.0-84961266429   2 Citations

MESH terms used to index this publication - Major topics in bold

Animals
Anti-Bacterial Agents
Coinfection
Doxycycline
Drug Combinations
Eczema
Facial Dermatoses
Female
Humans
Insecticides
Ivermectin
Lice Infestations
Macrolides
Middle Aged
Pediculus
Scalp Dermatoses
Severity of Illness Index
Staphylococcal Skin Infections
Staphylococcus aureus
Torso
jenkins-FCD Prod-310 bff9d975ec7f2d302586822146c2801dd4449aad