*support: الزم نعمل دعم نفسي و نطمئن المريض انه مريض بسيط و ممكن يصيب الكل
*Prevention:
1)the patients and his family need to be tratted .
2)clean clothes and personal things in boiling water and expose it to sun light or iron
#primary lesion: burrow *Systemic : *Topical: من الرقبه ألخمص القدمين
*Varieties;
1/sever itching At night 1)sedative Antihistamines for itching: *Permethrin 5%for adults
1/Noduler scabies. *caused by Femal mites (sarcoptes scabiei var 2/lesions= vesicles and papules 1/Acarophobia - skine scraping for scbiees : cetrzine or chlorphenamine 2.5% for infants under 2y
2/infantile scabie # highly contagious disease 1)parts of the parasites 2)Antibiotics for 2ry infection: ( most common staphylococcus aureus)
hominis ) 3/sites . 2/Irritation of skin by antiscabietic topical prepration . (BD for 3consecutive days every week for one month)
-close personal contact *Clinical & para clinical
scabies 3/Norwegian or crusted scabies *life cycle: 4w-6w
*incubation period: one month
-indirect by clothing or bedding
# family History +ve.
#site : all the body except between the
3/Post scabietic dermatitis .
4/Post scabietic nodules .
2)feaces
3)eggs
- penicillin
- amoxicillin with clavulonic acid
*Sulphur ointment 5-10 %
*Crotamiton 10% cream or lotion مضاد حقه
4/animal scabies (zoonosis) *eggs:2-4 days
-sexual contact
5/secondary bacteria infection.1 # اذا لقينا االعراض نعطي دواء،غالبًا مانعملش فحص# 3)Ivermectin (antiparasitic)
scapula bed, mainly the roots of fingers and *gamma benzene hexachloride 1% lotion .
5/scabies incognito toes+ inner side of the thigh , around the -250-400/kg single dose
-once a week *Benzyl benzoate 10% and 25% lotion
6/scabies in clean umpilical in male #never in face *Ivermectin1% lotion
- repeat if :
norwegian scabies
sever itching
no response to treatment
recurrency
parasites *clinical diagnosis
treatment of pediculosis :
1)sever itching ,all day all night impetigo of the scalp especially -scalp impitigo
2)scratching which causes scalp injury and in the nape is usually due to -hypersenstivity area 1)physical : using special comb to remove pediculosis 3-4 times in day
caused by prdiculus humanus capitis(capitis) -direct: close contact secondary infection pediculosis -conjunctivitis 2)shampoo: perimethri(drug of choice) or hexogama benzil shampoo
pediculosis capitis ped capitis -indirect:using tools of the patients 3)conjuunctivitis duetoo sever infection -recurrent infection --> anemia * leave it on the hair for 5-10 minutes then wash it.
4) pediculid: a hypersensitivity rach that DDX: -secondary infection+ enlarged occipital lymph nodes 3) systemic antibiotic for secondary infection : pencillin
mimics viral exanthema . -dandraff -bad smell #we need to rebate the treatment after one week
-contact dermatitis # if secondary infectiondue to pediculosis you treat the infection then the pediculosis
-body lice are major vectors of :
-typhus( not typhoid).
PEDICULOSIS -the bits of parasites cause red macule& DDX: - trench fever
-by clothing or bedding. - relapsing fever & bacillary.
caused by pediculus-humanus corporis(body hemorrhagic spots. -contact dermatitis
pediculosis corporis louse)ped corporis
-the eggs of body louse are mainly on the clothing
- scratching cupan cause secondary infection -atopic dermatitis - angiomatosis or endocarditis
in contact with skin - vagsbonds disease: huge infection of pediculosis corporis cause sever itching
& pigmentation. -scabies
and it's not responding to anti-scabies
تنقل هذي االمراض عبر جرح البشره بسبب الحكه و دخول البيض و الفضالت إلى داخل الجلد
-direct: sexual
caused by phthirus pubic (crab louse)phthirus -indirect: usage of toilet and clothing tiny spots of blood or spots of bleeding with
pediculosis pubis # rare pubis -we can find it in mainly in pubic area ,but also in sever itching
DDX: secondary infection ?
eyeslahes , eyebrows axillary & beard.
by fatema okoff