E-ISSN 2534-9821
 

Case Report 


Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report

Farida Tabri.

Abstract
Pediculosis capitis is lice infestation of the scalp hair that mostly occurs in children aged 3 to 12 years. Intense scalp pruritus is the most common complaint. Pruritus may occur 2-6 weeks after the initial infestation which reflects a delayed immunologic response to the lice or excreta. Excoriation, erythema, and pyoderma on the posterior scalp and neck are typical findings. Cicatricial alopecia is a possible but rare complication. Definitive diagnosis is made through the identification of nits and / or adult lice on the scalp hair. A 6-year-old girl came with a chief complaint of pruritus on the head one week before presentation followed by pustules and nodules. Erythematous papules and plaques, crusting, excoriation, and alopecia were found in the occipital and temporal regions. In the temporal hair shaft, light brown grains which were difficult to remove were found. Microscopic examination showed nits in the hair shaft and adult lice. Dermoscopic examination of the alopecic region showed white dots and the absence of hair follicle growth, suggestive of cicatricial alopecia. The patient was treated with 1% permethrin lotion along with oral and topical antibiotics, with the permethrin repeated in the following week. The patient showed a good clinical response and no lice nor nits were found in the following appointment.

Key words: cicatricial alopecia, pediculosis capitis, 1% permethrin


 
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How to Cite this Article
Pubmed Style

Tabri F, . Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. Int J Med Rev Case Rep. 2019; 3(5): 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA


Web Style

Tabri F, . Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. http://www.mdpub.net/?mno=19179 [Access: September 21, 2020]. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA


AMA (American Medical Association) Style

Tabri F, . Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. Int J Med Rev Case Rep. 2019; 3(5): 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



Vancouver/ICMJE Style

Tabri F, . Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. Int J Med Rev Case Rep. (2019), [cited September 21, 2020]; 3(5): 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



Harvard Style

Tabri, F. . & (2019) Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. Int J Med Rev Case Rep, 3 (5), 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



Turabian Style

Tabri, Farida , and . 2019. Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. International Journal of Medical Reviews and Case Reports, 3 (5), 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



Chicago Style

Tabri, Farida , and . "Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report." International Journal of Medical Reviews and Case Reports 3 (2019), 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



MLA (The Modern Language Association) Style

Tabri, Farida , and . "Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report." International Journal of Medical Reviews and Case Reports 3.5 (2019), 242-246. Print. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA



APA (American Psychological Association) Style

Tabri, F. . & (2019) Pediculosis capitis with a rare complication of cicatricial alopecia: A Case Report. International Journal of Medical Reviews and Case Reports, 3 (5), 242-246. doi:10.5455/IJMRCR.PEDICULOSIS-CAPITIS-WITH-RARE-COMPLICATION-CICATRICIAL-ALOPECIA