2nd August 2023

A 33-year-old journalist presents with perianal and vulval itching. She has recently returned from continental Europe

A 33-year-old journalist presents with perianal and vulval itching. She has recently returned from continental Europe, where she spent 3 months living in refugee camps. On examination, you observe erythema and excoriations around the anus. A bedside adhesive test tape is positive, and blood work reveals raised eosinophils.

What is the first line treatment for the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.