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Pediculosis capitis: an update.
Indian J Dermatol Venereol Leprol. 2012 Jul-Aug; 78(4):429-38.IJ

Abstract

Head louse infestation, or pediculosis capitis, caused by Pediculus humanus var. capitis, is a common health concern in pediatric age group. An itching of the scalp is the chief symptom, whereas presence of viable nits confirms the diagnosis of head louse infestation. Secondary bacterial infection with impetignization with cervical and occipital lymphadenopathy can complicate the clinical scenario with physician misdiagnosing pediculosis to a primary bacterial infection. Screening and treatment of all close contacts is necessary for an adequate management of pediculosis. Medical management of head louse infestation requires proper application of topical pediculicidal agents', chiefly permethrin lotion and wet combing with a fine toothcomb. Severe cases with high parasitic load justify the use of either oral cotrimoxazole or Ivermectin. Other described technique involves a single application of hot air for 30 minutes. Radical but culturally unacceptable method would be shaving of scalp in resistant cases. Environmental fogging with insecticides is neither necessary nor recommended.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Madke B
Department of Dermatology, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Khopkar U
No affiliation info available

MeSH

AnimalsHumansInsecticidesLice InfestationsLife Cycle StagesPediculusScalp Dermatoses

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22772612

Citation

Madke, Bhushan, and Uday Khopkar. "Pediculosis Capitis: an Update." Indian Journal of Dermatology, Venereology and Leprology, vol. 78, no. 4, 2012, pp. 429-38.
Madke B, Khopkar U. Pediculosis capitis: an update. Indian J Dermatol Venereol Leprol. 2012;78(4):429-38.
Madke, B., & Khopkar, U. (2012). Pediculosis capitis: an update. Indian Journal of Dermatology, Venereology and Leprology, 78(4), 429-38. https://doi.org/10.4103/0378-6323.98072
Madke B, Khopkar U. Pediculosis Capitis: an Update. Indian J Dermatol Venereol Leprol. 2012 Jul-Aug;78(4):429-38. PubMed PMID: 22772612.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediculosis capitis: an update. AU - Madke,Bhushan, AU - Khopkar,Uday, PY - 2012/7/10/entrez PY - 2012/7/10/pubmed PY - 2013/1/19/medline SP - 429 EP - 38 JF - Indian journal of dermatology, venereology and leprology JO - Indian J Dermatol Venereol Leprol VL - 78 IS - 4 N2 - Head louse infestation, or pediculosis capitis, caused by Pediculus humanus var. capitis, is a common health concern in pediatric age group. An itching of the scalp is the chief symptom, whereas presence of viable nits confirms the diagnosis of head louse infestation. Secondary bacterial infection with impetignization with cervical and occipital lymphadenopathy can complicate the clinical scenario with physician misdiagnosing pediculosis to a primary bacterial infection. Screening and treatment of all close contacts is necessary for an adequate management of pediculosis. Medical management of head louse infestation requires proper application of topical pediculicidal agents', chiefly permethrin lotion and wet combing with a fine toothcomb. Severe cases with high parasitic load justify the use of either oral cotrimoxazole or Ivermectin. Other described technique involves a single application of hot air for 30 minutes. Radical but culturally unacceptable method would be shaving of scalp in resistant cases. Environmental fogging with insecticides is neither necessary nor recommended. SN - 0973-3922 UR - https://www.unboundmedicine.com/medline/citation/22772612/Pediculosis_capitis:_an_update_ L2 - https://doi.org/10.4103/0378-6323.98072 DB - PRIME DP - Unbound Medicine ER -