Question

A 5-year-old boy is brought to the GP with an intensely itchy rash. Examination reveals multiple excoriated papules and some linear burrows in the finger webs, wrists, and groin area. Other family members are also itchy. What is the most appropriate first-line treatment according to NICE CKS?

Accepted Answer

Topical permethrin 5% cream

Answer

Oral flucloxacillin

Answer

Topical hydrocortisone 1%

Answer

Oral antihistamine (e.g., chlorphenamine)

Answer

Topical crotamiton cream

Practice question

A 5-year-old boy is brought to the GP with an intensely itchy rash. Examination reveals multiple excoriated papules and some linear burrows in the finger webs, wrists, and groin area. Other family members are also itchy. What is the most appropriate first-line treatment according to NICE CKS?