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Abduqaadir ali mohamud

Ali Mohamed addow


Abdisamad ahmed ga’al
Haliimo Mohamed afrah
Faadumo ali Mohamed
Maryan hassan abdullahi
Pediculosis Capitis
Introduction

Pediculosis capitis or commonly known


as head lice is an infection of the skin and
scalp hair caused by Pediculus humanus
variant capitis.

Pediculus Humanus Variant Capitis Nits


Epidemiology of Head Lice

Worldwide problem

Sosio-
Age Pediculosis
economic
capitis

Hair
Gender characteristic
Etiopatogenesis
3 Species Of Body Lice
Pediculosis Pediculosis Phitirus
Capitis Humanus Pubis

Colour Gray and white Greyish white Transculent

Size 2 to 4 mm flat 4 to 5 mm 0.8 to 1.2 mm length


Female has larger
than male
Body Parts •Six-legged •Six-legged •Six-legged with four
•Two eyes •Two eyes legs resembling crab
•Wingless •Wingless claws
•Two eyes
•Wingless
Head Lice Body Lice

Pubic Lice
Transmition

 Direct contact :
need very close head-to-head
contact to spread from one person to another.

Indirect contact : such as common household


appliances or personal belongings. (towels,combs, brushes
for hair polish, or hats)
Clinical Manifestation
 Infestation of Pediculosis
capitis
 Pruritus ( Most common complain)
 Scratching marks
 Erythema
 Lichenification
 Posterior cervical lymphadenopathy
 Excoriated
 Lice dirt on scalp
 Secondary impetigo
Diagnose
 Observation of
nits, live
nymphs or
adult lice.

 Use fine-tooth
comb and
magnifying
glass.
Supporting Examination
Laboratory tests :

 Microscopy of lice or nits on the


hair is in check to confirm
macroscopically examination of
the skin head and hair.
Differential diagnose:

Tinea Dermatit
capitis is
seborrho
gray patch ring ic
worm that
erytema &
caused by
oily scale,
microsporum
diffuse
genus
Tambah lagi DDnya

White Piedra Black Piedra


Caused by caused by Piedraia hortae
Trichosporon
beigelii
Nodul out the hair.
Nodul on the
hair shaft,
broken hair
Treatment
Non-medicamentosa :

Use comb to eliminate


keep the surrounding
nymphs that hatch between
environment clean
treatments pediculicidal.
Oral treatment
Name of drug Mechanism Dose

Ivermectin an anti worm.This leads to hyperpolarization, 200 mg / kg


causing flaccid paralysis culminating in the
death of the parasite.

Albendazole A antiparasitic blockade mitochondrial 400 mg as a single


function, ultimately leading to ATP depletion dose or repeated
and cell death more than 3 days

levamisole a nicotinic acetylcholine receptor agonist, Used at a dose of 3.5


which interfere with carbohydrate metabolism mg / kg
of the parasite. administered for 10
hari.12
Complication

Secondary bacterial infection may


worsen enough to make child fever
and lethargy
Prognosis
This infection is basically harmless.
However, the stigma associated with
head lice and psychological trauma
experienced by some people in their
efforts to eliminate the infection are
very excessive.
References
 Handoko RP. Penyakit Parasit Hewan. In: Djuanda A, Hamzah M, Aisah S, editors. Ilmu
Penyakit Kulit Dan Kelamin. 5 ed. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2010.
p. 119-20.
 P T, Habif. Clinical Dermatology : A Color Guide to Diagnosis and Therapy. Philadelphia:
Mosby; 2003.
 Burgess IF, Dodd CS. Head Lice. In: Williams H, Bigby M, Duepgen T, Herxheimer A, Naldi L,
Rzany B, editors. Evidence-based Dermatology. London: BMJ Books; 2003. p. 525-30.
 AR. M, AH. Z, AM. A, Z. E. The Prevelence of Pediculosis capitis in Primary School Student in
Bahar, Hamadan Province, Iran. J res Health Sci. 2009:p.45-9.
 Stone SP, Goldfarb JN, Bacelieri RE. Scabies, Other mites, and Pediculosis. In: Wolff K,
Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick's Dermatology
in general medicine. 7th ed. New York: McGraw-Hill; 2008. p. 2033-35.
 Saddozai S, Kakarsulemankhel JK. Infestation of Head Lice, Pediculus humanus capitis, in
School Children at Quetta City and its Suburban Areas. Pakistan J Zool. 2008;40:45-2.
 Burns DA. Diseases caused by Arthropods and Other Noxious Animals. In: Burns T, Breathnach
S, Cox N, Griffiths C, editors. Rook's textbook of dermatology. 8th ed. London: Wiley-
Blackwell; 2010. p. 38.15-.20.
 Meinking TL, Burkhart CN, Burkhart CG, Elgart G. Infection, Infestatiotion and Bites. In:
Bolognia JL, Jorizzo JL, Rapini RP, editors. Dermatology. 2nd ed. London: Elsavier; 2008.
 Canyon DV, Speare R, Muller R. Spatial and Kinetic Factors for the Transfer of Head Lice
(Pediculus capitis) Between Hairs. The Journal of Investigative Dermatology. 2002;119:629-
 Roberts RJ. Head Lice. The New England Journal of Medicine. 2002;346:1645-50.
 Nutanson I, Steen CJ, Schwartz RA, Janniger CK. Pediculosis humanus capitis an update.
Acta Dermatoven APA. 2008;17:p. 147-53.
 James WD, Berger TG, Elston DM. parasitic infestation, stings, and bites. Andrews'
disease of the skin clinical dermatology. 10th ed. Philadelphia: Elsevier; 2006. p. p. 446-
49.
 Sterry W, Paus R, Burgdorf W. Other Infectious Diseases. In: Sterry W, Paus R, Burgdorf
W, editors. Thieme Clinical Companions Dermatology. 5th ed. Stuttgart: Thieme; 2006. p.
126-7.
 Flinders Dc, Schweinitz PD. Pediculosis and Scabies. American Family Physician.
2004;69:341-8.
 Nutanson I, Steen CJ, Schwartz RA, Janniger CK. Pediculosis humanus capitis an update.
Acta Dermatoven APA. 2008;17:p. 147-53.
 Wolff K, Johnson RA. Arthropod Bites, Stings, and Cutaneous Infections. In: Wolff K,
Johnson RA, editors. Fitzpatrick's Colour Atlas and Synopsis of Clinical Dermatology.
6th ed. New York: McGraw-Hill; 2009. p. 860-63.
 Madke B, Khopkar U. Pediculosis caitis : An update. Indian Journal of Dermatology,
Vinerology, and Leprology. 2012
THANK YOU

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