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A diagnosis of CS was made, while mother received diagnosis of ordinary scabies. (b) Complete resolution of cutaneous lesions during the post-discharge follow-up. (c) Laboratory investigation during the observation. gl This history and the characteristics of lesions drew our attention to a possible skin infestation. As for treatment, oral ivermectin is reserved for recurrent, difficult-to-treat cases, or CS.8 Due to severe presentation and to the refractoriness of the condition with topical treatment, our patient required this off-label treatment. [Extracted from the article]

Aim: Acute abdominal pain is a frequent complaint in children attending emergency departments. The aim of this study was to investigate the pain score reductions when children with acute abdominal pain received medication sublingually., Methods: We carried out a multicentre randomised controlled trial in three children's hospitals in Italy between March 2015 and June 2017. Children from four to 18 years of age with acute abdominal pain were recruited if their self-reported pain was at least six on a scale from 0-10. The children were randomised to receive ketorolac 0.5 mg/kg (n = 70) or tramadol 2 mg/kg (n = 70) sublingually or a melt in the mouth powder of 20 mg/kg paracetamol (n = 70). The main study outcome was the pain scores for the three drugs after two hours., Results: The 210 children (58.6% girls) had a median age of 12 years with an interquartile range of 9-14.3. The median pain scores at two hours were not significantly different between ketorolac 2.0 (interquartile ranges, IQR 0.0-4.3) and tramadol 3.0 (IQR 1.0-5.0) vs paracetamol 3.0 (IQR 0.8-5.0). The median pain reductions were all 5.0 points., Conclusion: Delivering analgesia sublingually was a suitable option for pain relief in children with acute abdominal pain in the emergency department., (©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)