Frequently scratching her scalp

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Question

A 5-year-old girl has been frequently scratching her scalp and has been complaining of severe itching. She is otherwise healthy, has had no major medical problems, and has no allergies. She is currently an only child, but her mother is pregnant. The girl just started kindergarten 6 weeks ago. The child's mother also has had an itchy scalp for the past several days, and the family dog seems to be scratching a lot. Examination of the child reveals a healthy appearing 5-year-old girl. Mild excoriations are noted behind both ears and at the base of the neck. Examination of the child's hair near the scalp reveals nits on the hair shafts 3-4 mm from the scalp (see figure). The same is true for the child's mother.

Reference no: EM133716585

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