Severe pediculosis capitus: a case of “crusted lice” with autoeczematization

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" Severe pediculosis capitus: a case of “crusted lice” with autoeczematization "
Connor, Cody J; Selby, John C; Wanat, Karolyn A

Document Type	:	AL
Record Number	:	923965
Doc. No	:	LA7c91z913
Language of Document	:	English
Main Entry	:	Connor, Cody J; Selby, John C; Wanat, Karolyn A
Title & Author	:	Severe pediculosis capitus: a case of “crusted lice” with autoeczematization [Article]\ Connor, Cody J; Selby, John C; Wanat, Karolyn A
Title of Periodical	:	Dermatology Online Journal
Volume/ Issue Number	:	22/3
Date	:	2016
Abstract	:	Pediculosis humanus capitus infestations are common and classically present with intense pruritus of the scalp. Although many treatment options are available, lice are becoming more resistant to conventional therapies and severe clinical presentations are bound to become more prevalent. We present a case of treatment-resistant pediculosis capitus resulting in diffuse autoeczematization of the torso and extremities and severe crusting and scaling of the scalp, which we called “crusted lice.” This eruption differs from the well-described id reaction known as “pediculid” and represents a more dramatic manifestation of rampant infestation. This paper provides an up-to-date review of treatment options available for pediculosis humanus capitus, including newer medications like the ones that eventually led to resolution of our patient’s extreme infestation.