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Last reviewed: 19 Mar 2025
Last updated: 23 Apr 2024

Summary

Definition

History and exam

Key diagnostic factors

  • perianal pruritus
  • perianal erythema
  • presence of worms

Other diagnostic factors

  • restlessness
  • insomnia
  • vulvar pruritus

Risk factors

  • school attendance or institutionalisation
  • Oral habits like nail biting or thumb sucking

Diagnostic investigations

Treatment algorithm

Contributors

Authors

Michael J. Smith, MD, MSCE
Michael J. Smith

Professor of Pediatrics

Duke University School of Medicine

Durham

NC

Disclosures

MJS declares that he has no competing interests.

Acknowledgements

Dr Michael J. Smith would like to gratefully acknowledge Dr Theoklis Zaoutis, a previous contributor to this topic. TZ declares that he has no competing interests.

Peer reviewers

Randal Rockney, MD

Associate Professor of Pediatrics and Family Medicine

Department of Pediatrics

Hasbro Children's Hospital

Providence

RI

Disclosures

RR declares that he has no competing interests.

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