Imunodeprimati, pacienti tratati cu dermatocorticoizi
Nr. f. mare de paraziti Scuamocruste groase, predominant pe extremitati Prurit redus sau absent Majoritatea adenopatie generalizata si eozinofilie Foarte contagioasa Scabia nodulara
Reactie granulomatoasa la resturi ale artropodelor sau la
ouale acestora Diagnostic
Context epidemiologic sugestiv
Prurit cu exacerbare nocturna
Leziuni cu aspect si topografie
caracteristice
Examen parazitologic direct
Tratament Benzoat de benzil 25-30% Crotamiton 10% Permetrina 5% Malathion 0,5% (CI gravide , copii) Sulf pp 10% adulti, 3-5% copii Lindan 1% (CI gravide, copii, supraf mari erodate)
Sistemic- ivermectina ( imunodeprimati)
Special population recommendations
Infants - Permethrin 5% cream (>2 months age)
(Ivermectin and lindane contraindicated)
Children - Permethrin 5% cream, benzyl benzoate 12.5%
Pregnant and breastfeeding women - 6% sulfur
(Ivermectin, permethrin, and lindane contraindicated)
Crusted or Norwegian scabies - Oral ivermectin (may
require 3-7 doses, or in combination with a topical scabicide depending on the severity of the infection[5] ); hyperkeratosis treated with a keratolytic agent (5-10% salicylic acid in petrolatum) improves penetration of the topical agent[5] PEDICULOZA - paduchii sunt paraziti hematofagi