A 13 yr old female with no significant past medical history presents for the management of pruritic papules on the legs and arms. Initial Evaluation: Tired but otherwise healthy appearing female Takes no medications ROS is notable only for pruritus and occasional lack of sleep in association with the rash. Presents with firm erythematous papules with central punctum scattered in a symmetric eruption on the arms and legs, with a few scattered on the trunk without mucosal lesions. No linear burrows or stigmata of scabies No evidence of lice on the body or on clothing Started in the springtime and recur in crops No other family member affected There is a cat living in the family.
What would be the diagnosis for this case? What should be the initial treatment plan for this patient? *This case is from the Docplexus Editorial Team and is meant for educative purpose only.
