Case about scabies

1. CASE PRESENTATION
DR KRITIKA JOSHI
Assistant professor
HAMCH

2. Patient’s information
 Opd No. 1919/52485
 Date Of Registration- 21/8/17
 Patient’s Name- Rubeena
 Age- 8yrs
 Sex- Female
 Religion- Hindu
 Fathers Name- Mr. Ajay
 Address- ABC
 Informant- Mother

3. Chief complaints
 Rashes (papulovesicular ) with itching on hands
and feet since 10 days.

4. History Of Present Illness
 According to mother pt. was well 10 days
back. Papulovesicular rashes started appearing
on and between fingers and toes with itching
which then starts spreading to whole hand,
wrist , feet and ankle .
 No history of insect bite.

5. Treatment history
 Patient didn’t take any treatment for present
complaint.
 No history of any other drug intake.

6. Family history
 Her elder sister and her mother are having same
rashes on hands and feet with itching since 10-15
days.
 No history any other illness in the family.

7. General examination
 GC- Fair wt. – 21 kg
 P/R – 86/Min
 R/R – 18/Min
 Temp. – 98.6 Deg. F
 Pallor- Mild
 Icterus- Absent
 L.N – Not Palpable.

8. Local Examination
 Skin- Erythematous papular & vesicular rashes with
bleeding and crusting (due to intense itching ) on hands
and feet.

9. Systemic Examination
 No abnormality is seen in
 CNS,
 CVS,
 RS,
 GIT and other systems.

10. Provisional diagnosis
Scabies (with secondary bacterial infection)
Pruritic papular vesicular rashes
1st appeared between the fingers and toe.
Intense itching at night.
Other family members are also affected .
No history of drug intake or insect bite.

11. Differential Diagnosis
 Atopic dermatitis
In older childern rashes are dry , pruritic &
maculopapular. Commonly involve flexor surface of
extremities wrist ankle and neck.
 Papular urticaria
Intensly pruritic disorder caused by an allergic
response to insect bite on exposed skin surface.
Lesions are papular with punctum on erythematous
base.
 Drug reactions
No history of any drug intake.

12. Management
 Nimbadi churna- 1gm
Suddh gandhak- 150mg
Vidang churna- 500mg
1x3 with honey
 Ascabiol lotion – L/A below neck at bed time x 3
successive night
 Tb. Moxikind CV (375) - 1 BD x 5 days.

13. Instructions for patient -
 Apply lotion all over the body below neck at bed
time and take bath next morning.
 Wash all clothes, beddings, towel etc properly
in hot water , dry in sun light and iron.
 Keep skin dry and clean
 Do not share clothes, bedding, towel etc with
others.

14. Thank you
Have a good day