Last reviewed: 30 Sep 2024
Last updated: 23 Apr 2024
Summary
Definition
History and exam
Key diagnostic factors
- perianal pruritus
- perianal erythema
- presence of worms
Full details
Other diagnostic factors
- restlessness
- insomnia
- vulvar pruritus
Full details
Risk factors
- school attendance or institutionalization
- Oral habits like nail biting or thumb sucking
Full details
Diagnostic tests
1st tests to order
- adhesive tape test
Full details
Treatment algorithm
ACUTE
symptomatic patients + family members
Contributors
Authors
Michael J. Smith, MD, MSCE
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.
Differentials
- Inflammatory bowel disease
- Dermatitis, atopic
- Perirectal abscess
More DifferentialsGuidelines
- Yellow Book: Enterobiasis/pinworm
- Red Book: Pinworm Infection (Enterobius vermicularis)
More GuidelinesPatient information
Pinworm
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