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Phthirus pubis infestation of the eyelashes and scalp hairs in a girl.

Nariko Ikeda1, Hiroo Nomoto, Seiji Hayasaka

  • 1Division of Ophthalmology, Itoigawa General Hospital, Itoigawa, Japan. nariko@theia.ocn.ne.jp

Pediatric Dermatology
|July 19, 2003
PubMed
Summary

Phthirus pubis, or pubic lice, can infest eyelashes in children, presenting as foreign bodies. Prompt removal of lice, lash trimming, and medicated shampoo effectively treated this unusual pediatric infestation.

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Area of Science:

  • Dermatology
  • Parasitology
  • Pediatrics

Background:

  • Phthirus pubis (pubic lice) infestation typically affects the axillary, pubic, and body hair.
  • Eyelash infestation by pubic lice is rare, particularly in pediatric cases.

Observation:

  • A 4-year-old girl presented with foreign bodies on her eyelashes, later identified as pubic lice and their nits.
  • The child's parents denied any infestation in other body hair areas, despite the confirmed diagnosis.

Findings:

  • The identified parasite was confirmed as Phthirus pubis.
  • Mechanical removal of parasites, trimming infested eyelashes, and application of phenothrin shampoo to the scalp were performed.
  • A follow-up examination after one month revealed no residual Phthirus pubis infestation.

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Implications:

  • This case highlights the possibility of pubic lice infestation on eyelashes in children.
  • Effective treatment involves a multi-pronged approach including parasite removal, physical removal of nits (lash trimming), and appropriate topical medication.
  • Early diagnosis and intervention are crucial for successful management and preventing potential complications or spread.