A 15-year-old healthy female high school student. No significant past medical history. Review of systems is noncontributory. Presents for management of 6 weeks’ history of an intensely pruritic eruption on the scalp and neck.
A Recent history of a louse infestation outbreak on school athletic team. Denies recent travel, new cosmetics for hair or skin Initial evaluation Healthy appearing female teenager Scattered erythematous macules and excoriated papules on the neck; several lice and egg casings are noted in the scalp hair No evidence of superinfection is present Complete skin and hair examination does not reveal additional sites of infestation Recommended: permethrin 1% lotion applied on days 0, 7, and 15 for 10 minutes to clean, non-conditioned, towel-dried hair Topical triamcinolone 0.1% lotion applied b.i.d. to the scalp and posterior neck to alleviate pruritus Follow-up in 9 days…
