Severe pediculosis capitus: a case of "crusted lice" with autoeczematization. Dermatol Online J 2016 Mar 16;22(3)
Date
05/03/2016Pubmed ID
27136626Scopus ID
2-s2.0-84961266429 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
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 KAAuthor
Karolyn A. Wanat MD Chair, Professor in the Dermatology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AnimalsAnti-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
