PANCE Blueprint Dermatology (5%)

Parasitic (PEARLS)

The NCCPA™ PANCE Dermatology Content Blueprint covers two disorders under parasitic infectious diseases


Lice Pruritic scalp, body or groin. Nits are observed as small white specs on the hair shaft

  • Body (corporis); Pubic (pubis)

TX: launder potential fomites such as sheets in hot water (> 131 F or 55 C)

  • Permethrin topical is the drug of choice: Capitis: permethrin shampoo x 10 minutes; Pubis: permethrin lotion x 8 hours

Lice and nits on the scalp

Lice and nits on the scalp

Scabies Pruritic papules - S-shaped or linear burrows on the skin. Often located in web spaces of hands, wrists, waist with severe itching (worse at night)

  • Diagnose with microscopic observation of mite, egg or feces after skin scrape

Treat with topical permethrin - apply to the entire body for 8-10 hours and repeat in one week

  • All clothing bedding, towels washed and dried using heat and have no contact with body for at least 72 hours
  • Oral ivermectin if extensive involvement or immunocompromised individuals
  • Pruritus may persist for 2-4 weeks after treatment

Scabies on the wrist (common site of infection)

Scabies on the wrist (common site of infection)

Dermatophyte Infections (ReelDx) (Prev Lesson)
(Next Lesson) Lice (ReelDx)
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NCCPA™ Content Blueprint

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