Lice, Body, Pediculosis Corporis, Vagabond's Skin - DermAtlas

Contributor

Chris Ha, MD

Diagnosis

lice, body pediculosis corporis vagabond's skin

Body Site

leg foot

Age

47 years

Pigmentation

dark

Organization

confluent

Color

brown

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric

Comments

A 47 year old homeless man was evaluated for an itchy rash present for 3-4 months on his extremities. Examination demonstrated widespread hyperpigmentation, lichenification and excoriations particularly severe on his legs. His socks were covered with multiple adult and immature lice and, in some areas, almost confluent nits. He received a bath, a new set of clothes, and a total body application of 5 percent permethrin cream with rapid elimination of the lice and nits. Pruritus gradually improved over 3-4 weeks and he was continued on emollients.

Description

multiple adult and immature body lice and almost confluent nits on sock

Image Added

4/3/2002 22:03:35

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Other Resources

PubMed Medline Plus Medscape

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