Question

A 5-year-old child is brought to the GP with a 1-week history of perianal itching, which is worse at night and disturbing sleep. The child is otherwise well. Examination of the perianal area is unremarkable. What is the most likely diagnosis?

Accepted Answer

Threadworm infestation

Answer

Anal fissure

Answer

Perianal streptococcal dermatitis

Answer

Constipation with overflow soiling

Answer

Pinworm-associated eczema

Practice question

A 5-year-old child is brought to the GP with a 1-week history of perianal itching, which is worse at night and disturbing sleep. The child is otherwise well. Examination of the perianal area is unremarkable. What is the most likely diagnosis?