Papular Pruritic Eruption
Description General Measures Medicine Treatment L29.8 DESCRIPTION Itchy inflamed papules at different stages of evolution. Healed lesions are often hyperpigmented. The itch is difficult to manage. May flare after starting ART, but generally improves as the CD4 count increases. It is essential to exclude scabies. GENERAL MEASURES Minimise exposure to insect bites, e.g. by regularly dipping p
L29.8
DESCRIPTION
Itchy inflamed papules at different stages of evolution. Healed lesions are often hyperpigmented. The itch is difficult to manage. May flare after starting ART, but generally improves as the CD4 count increases. It is essential to exclude scabies.
GENERAL MEASURES
Minimise exposure to insect bites, e.g. by regularly dipping pets.
MEDICINE TREATMENT
- Cetirizine, oral, 10 mg daily.
- Hydrocortisone 1%, topical cream, applied twice daily for 7 days.
- Apply sparingly to the face.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare_V1.0_26 February 2026
Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV AND AIDS)_11.3 Opportunistic Infections, Treatment in Adult_11.3.12 Papular Pruritic Eruption