Vol 6 (2021): Continuous Publishing
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Published online: 2021-07-15

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Phthiriasis palpebrarum in a Spanish infant

Carlos Izquierdo-Rodriguez12, Maria Castro-Rebollo12, Yolanda Fernandez-Miguel12, Paula Moreno-Martin12, Jesus Zarallo-Gallardo12
Ophthalmol J 2021;6:69-71.

Abstract

Background: Phthiriasis palpebrarum is an eyelid involvement secondary to an infestation of the eyelids by Phthirus pubis and has a low incidence.

Case presentation: A 7-year-old male child presented in the emergency room at Henares Hospital in Madrid (Spain) with a history of repeated episodes of itchiness, blepharitis, warmth sensation, and moderate discomfort of 2 months duration in both eyes. Slit-lamp examination revealed lice and nits at the roots of the eyelashes. Many treatments have been described for the treatment of phthiriasis pubis. In this case, mechanical removal and treatment with vaseline ointment were performed.

Conclusion: A careful slit-lamp examination to identify the nits and lice in the eyelashes and careful removal is necessary for the best evolution.

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References

  1. Zias J, Mumcuoglu KY. Pre-pottery neolithic B head lice from Nahal Hemar Cave. Atigot. 1991; 20: 167–68.
  2. Turgut B, Kurt J, Catak O, et al. Phthriasis palpebrarum mimicking lid eczema and blepharitis. J Ophthalmol. 2009; 2009: 803951.
  3. Ryan MF. Phthiriasis palpebrarum infection: a concern for child abuse. J Emerg Med. 2014; 46(6): e159–e162.
  4. Yi JW, Li Li, Luo DaW. Phthiriasis palpebrarum misdiagnosed as allergic blepharoconjunctivitis in a 6-year-old girl. Niger J Clin Pract. 2014; 17(4): 537–539.
  5. de Pinho Paes Barreto R, Biancardi AL, Salgueiro MJ. Chronic conjunctivitis related to phthiriasis palpebrarum. Int Ophthalmol. 2012; 32(5): 467–469.
  6. Maunder J. Lice and scabies. Dermatologic Clinics. 1998; 16(4): 843–845.
  7. Awan KJ. Cryotherapy in phthiriasis palpebrarum. Am J Ophthalmol. 1977; 83(6): 906–907.
  8. Awan KJ. Argon laser phototherapy of phthiriasis palpebrarum. Ophthalmic Surg. 1986; 17(12): 813–814.
  9. Cogan DG, Grant WM. Treatment of pediculosis ciliaris with anticholinesterase agents; report of a case. Arch Ophthal. 1949; 41(5): 627.
  10. Vaitheeswaran K, Garg S, Kaur P. Botulinum toxin A in the treatment of pthiriasis palpebrarum. J AAPOS. 2014; 18(3): 290–291.
  11. Ashkenazi I, Desatnik HR, Abraham FA. Yellow mercuric oxide: a treatment of choice for phthiriasis palpebrarum. Br J Ophthalmol. 1991; 75(6): 356–358.
  12. Burkhart CN, Burkhart CG. Oral ivermectin therapy for phthiriasis palpebrum. Arch Ophthalmol. 2000; 118(1): 134–135.