Question 92 · LEK · Skin and mucosal infections

A 31-year-old female working at a social care unit has reported to a family doctor complaining about the itchy abdomen skin, escalating during the night and a rash. In physical examination skin lesions in the form of papules and nodules, excoriations and single crusts were found. How should the doctor proceed?

  1. A. recommend observation of the lesion progression.
  2. B. refer the patient to the allergist.
  3. C. prescribe antihistamines.
  4. D. evaluate the presence of the burrow tracks and prescribe permethrin cream in the case of their visibility.
  5. E. none of the above.
Hint

Night-time itch in someone working in a communal care setting should make you look for a specific skin sign of an ectoparasite.

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