23 year old female with history of urticaria for one month , not feverish , no GIT symptoms except severe itching anal region, after taking albendazole for 3 days passed 7 warms as in image below. Your views?

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This is an indication that in indian set up Ascariasis is one of the common causes of urticaria. All patients of urticaria should be dewormed

Itching over anal/vaginal region common in pinworm infestation...ascariasis causes more abdominal and respiratory symtom.

Anal itching s/o Pinworm

Ascaris

ascaris

could be intestinal S. mansoni - neglected tropical disease - which would account for size and small number of worms expelled

Proceed with stool examination and look for eggs

Ascariasis infestation.

Adult female Enterobius vermicularis.

Entrobius vermucularis D/o/c Albendazole 400mg

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