A case of unilateral phthiriasis palpebrarum infestation involving the left eye

Ashraf, Mohammad Javad; Waris, Abdul; Kumar, Ashwini; Akhtar, Nahid

doi:10.1136/bcr-2013-203307

Cited by 10 publications

(9 citation statements)

References 9 publications

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“…Phthiriasis palpebrarum is a rare cause of blepharitis due to louse phthirus pubis. 3 It belongs to order Anouplura, family Pthiridae and genus Phthirus. 4 It's body is squat with three pairs of legs, with the second and third pairs carrying heavy pincer like claw.…”

Section: Discussionmentioning

confidence: 99%

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Phthiriasis palpebrarum: a diagnosis of keen observation and suspicion

2020

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<p class="abstract">Phthiriasis palpebrarum is a rare cause of eyelid infestation and it mimics seborrheic blepharitis. A 60 years old female presented with itching in the eyelids and scalp. On initial examination scaling was present in her eyelashes and eyelid margin. On further examination some movements were noticed in her eyelashes. Immediately, dermatoscopic examination was done and was found to have multiple nits and multiple crab lice over her eyelashes. She was treated with oral ivermectin and trimming of eyelashes as advised by ophthalmologist. She improved in a week. Thus, phthiriasis palpebrarum can mimick seborrheic blepharitis and therefore high index of suspicion and detailed examination is necessary for appropriate diagnosis.</p>

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Section: Discussionmentioning

confidence: 99%

“…The site of infestation can give a clue to the mode of transmission. 3 It probably reaches the eye by transmission from the pubic area through hands. It is transmitted also via sexual contact or via clothing and towels.…”

Section: Discussionmentioning

confidence: 99%

Phthiriasis palpebrarum: a diagnosis of keen observation and suspicion

2020

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“…Today, the mechanical removal of the eggs is still a treatment option (13). It has been reported in literature that moxifloxacin and mechanical cleaning are practiced and are effective (14). It has also been reported that only 4% of pilocarpine hydrochloride is effective without mechanical removal (8).…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Blebharitis: Phthiriasis Palpebrarum

Altinsoy¹,

Alver²,

Doğanay³

2018

TurkiyeParazitolDerg

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A six-year-old male patient was admitted to our hospital due to itching and scalding crusts that persisted 10-15 days in both eyes. Upon biomicroscopic examination, 5-6 semi-translucent, yellowish brown living lice attached to the upper eyelashes and a large number of eggs were observed. Following application of pilocarpine hydrochloride (Pilomann 2%, Bausch-Lomb) and topical proparacaine hydrochloride (Alcaine 0.5%, Alcon), the paralyzed parasites and eggs were manually removed by pulling with forceps. The lice were identified as adult forms of pubic louse, Pthirus pubis, and its eggs. The patient was treated with pilocarpine hydrochloride, which was applied thrice a day combined with pure vaseline. One week later, no lice or eggs were seen on the eyelashes.

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“…Pthiriasis of the eyelashes usually occurs in both eyelids, although cases with involvement of 1 eye have been reported (5). The eyebrows are rarely involved.…”

Section: Diagnosis: Pthiriasis Of the Eyelashesmentioning

confidence: 99%