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Dermatology

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Scabies

Question
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An 8 month old child presented with itchy exudative lesions on the face, palm and soles, The siblings also have similar complaints, The treatment of choice in such a patient is (AIIMS May 2014)



A Systemic ampicillin betamethasone

B Topical

C Systemic prednisolone

D Topical permethrin

Ans. D
[Topical permethrin]

1). Clinical presentation suggests diagnosis is scabies

2). Topical permethrin is safe for children above 2 months of age and pregnant patients

3). 5% permethrin cream is less toxic than the once commonly used 1 % lindane preparations and is effective against lindane-tolerant infestations

4). Lindane is absorbed through the skin and its overuse has led to seizures and aplastic anemia so it is contraindicated in pregnant women or infants

5). Scabies in adults spares face and palms, soles but not in infants.

Scabies Flashcard List

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