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Phthiriasis Palpebrarum: An Unusual Course of Blepharitis

Victor D. Turow, MD
Arch Pediatr Adolesc Med. 1995;149(6):704-705. doi:10.1001/archpedi.1995.02170190114022.
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Pediculosis and phthiriasis occur in humans when sanitary conditions are inadequate. Typically, Phthirus pubis (crab lice) is found in the hair of the pubic and inguinal regions; Pediculus humanus capitis, in scalp hair; and Pediculus humanus corporis, on the seams of clothing. Phthiriasis palpebrarum, infestation of the eyelashes by P pubis and its ova, is an important entity to recognize and a difficult one, medically and socially, to treat. Presented herein is an interesting case of phthiriasis palpebrarum in two young siblings.

Patient Report. A 5-year-old girl from a middle-class family complained of scalp itching. There were several cases of head lice in her camp group. Her parents discovered typical nits in her hair, and after a telephone consult with her pediatrician she was treated with permethrin followed by combing. A careful inspection of other family members revealed scalp hair nits in her mother but not in her father or


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