Treatment of choice of scabies in pregnancy ?
**Core Concept**
The treatment of scabies, particularly in pregnancy, involves considering the safety and efficacy of various therapeutic options for both the mother and the fetus. **Permethrin** is often considered due to its low systemic absorption and high efficacy against scabies.
**Why the Correct Answer is Right**
Permethrin is preferred because it has a long history of safe use during pregnancy, with minimal risk of systemic toxicity. Its topical application reduces the risk to the fetus, making it a preferred choice over oral medications like ivermectin, which has more limited data on safety in pregnancy.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect due to lack of information.
**Option B:** Incorrect due to lack of information.
**Option D:** Incorrect due to lack of information.
**Clinical Pearl / High-Yield Fact**
In pregnancy, it's crucial to weigh the benefits and risks of any medication. For scabies, **permethrin** is generally the first-line treatment due to its safety profile.
**Correct Answer:** D. Permethrin.