Page 111 - LECTURE NOTES

5. 5% of permetherin cream single applications enough but advised to repeat

treatment after week. Topical application must be applied from neck to toe. The
patient should wear clean clothing & sleep between freshly laundered bed

linens and all bedding and clothing should be washed in very hot water or
ironed.

6. After treatment is completed ointments such as emollients like parfine or
Vaseline should be applied to skin lesion, because scabicide may be irritating

the skin.

N.B. Itching may remain a troublesome problem for a few weeks due to the occurrence

of hypersensitivity particularly in the atopic (allergic) person but it is not a sign of

treatment failure.
- The patient is instructed not to apply more scabicide because it will cause more

irritation and increased itching and not to take frequent hot shower because it dries
skin and produces itching.

- All family members and close contact should be treated simultaneously to eliminate
the mite.

4.5.5.2 Leishmaniasis
Is infection by a species of the genus leishmania. The disease is classified as:

1) Cutaneous leishmaniasis
2) Visceral leishmaniasis (Kala-azar disease)

3) Mucocutaneous leishmaniasis (espundia)

Epidemiology

The disease occurs in large areas of Asia, Latin America, and Africa. It is transmitted by
bite of Sand fly and cause a variety of illness is from skin sores to involvement of

different internal organs, and as a result it may lead to death.

Cutaneous and mucocutaneous leishmaniasis
Cutaneous leishmaniasis

Caused by protozoan which has three varieties
a) Leishmania ethiopica

105