A rare cause of blepharoconjunctivitis: Phthiriasis palpebrarum

Başkan, Ceyda; Duman, Rahmi; Balcı, Mehmet; Özdoĝan, Si̇bel

doi:10.4103/1119-3077.144419

Cited by 7 publications

(10 citation statements)

References 4 publications

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“…Phthirus pubis infestation of the eyelids is commonly misdiagnosed [ 4 ], as symptoms may be confused with other causes of blepharoconjunctivitis. This is due to its infrequency and the difficulties in recognition without performing high-magnification biomicroscopy, owing to the transparent structure of the lice and its localization in the roots of the eyelashes [ 5 ]. Our patient presented only when she showed no response to topical antibiotics.…”

Section: Discussionmentioning

confidence: 99%

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Phthirus pubis Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

Dohvoma

Mvogo

Atangana

et al. 2018

Case Rep Ophthalmol

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Purpose: To report the case of Phthirus pubis infestation of the eyelashes presenting as chronic blepharoconjunctivitis. Case Report: A 6-year-old girl presented with a 2-month history of blepharoconjunctivitis unresponsive to topical antibiotics in the left eye. Slit-lamp examination revealed the presence of nits and adult parasites on the eyelashes. Parasitological examination confirmed adult forms and nits of Phthirus pubis. There was no evidence of infestation elsewhere. Outcome was favourable with mechanical removal and application of petroleum jelly. Conclusion: Careful slit-lamp examination of the eyelashes should be done in all patients presenting with ocular irritation symptoms.

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Section: Discussionmentioning

confidence: 99%

“…Given the ocular toxicity concerns and the unavailability of these chemical treatments in our setting, we opted for mechanical removal and the use of petroleum jelly in this case. Petroleum jelly applied to the eyelashes appears to be safe as this has been used by other authors [ 5 , 6 ]. It does not kill the nits but smothers the lice.…”

Section: Discussionmentioning

confidence: 99%

Phthirus pubis Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

Dohvoma

Mvogo

Atangana

et al. 2018

Case Rep Ophthalmol

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“…A common complication is blepharoconjunctivitis. 6,10,12,13,21,28,39,42,44,48,52,53,59,61,62,68,71 Some cases of keratitis have also been reported. 10,40,61 Bacterial superinfections, 6,22,61 with preauricular lymphadenopathy 12 are very rare.…”

Section: Complicationsmentioning

confidence: 99%

Pthiriasis of the eyelashes

Veraldi¹,

Nazzaro²,

Esposito³

et al. 2020

G Ital Dermatol Venereol

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“…Although the infection usually occurs as a sexually transmitted disease, it also can be spread by direct contact with contaminated skin ( e.g ., hands) or textiles ( e.g ., towels and clothing)[ 2 ]. Crab lice infestation involving the unilateral eyelashes and adjacent eyelids is rare among the overall spectrum of ocular surface diseases[ 3 ]. Many studies of such in the literature refer to the crab lice infection of the eyelid as phthiriasis palpebrarum[ 4 - 8 ].…”

Section: Introductionmentioning

confidence: 99%

Crab lice infestation in unilateral eyelashes and adjacent eyelids: A case report

Tang¹,

Li²

2021

WJCC

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BACKGROUND Crab lice ( Phthirus pubis ) infestation can occur at any age, to either males or females, and across all regions of the world. However, cases involving the eyelashes and adjacent eyelids (phthiriasis palpebrarum) are rare. Usually occurring as a sexually transmitted disease, crab lice can be spread by poor hygiene or in a dirty environment through direct contact with contaminated skin (hands) or textiles (towels and clothing). CASE SUMMARY A 50-year-old woman presented to our hospital with a 2-wk history of chronic eyelid pain and itching in the right eye, which exacerbated in the evening hours and which had not resolved following a 1-wk course of antibiotics and corticosteroid ointments (for blepharitis diagnosis from another hospital). A careful ophthalmic slit-lamp and light microscope examination revealed multiple crab lice and nits on the right upper eyelashes; the right and left lower eyelashes were normal. Following the new diagnosis of phthiriasis palpebrarum, the patient was treated by removing the affected eyelashes, the crab lice, and their nits completely. Additionally, the eyelids were washed once with povidone-iodine. A follow-up examination at 2 wk later showed complete resolution of symptoms and no evidence of re-infection. CONCLUSION This case emphasizes the importance of correct diagnosis and complete removal of eyelashes, crab lice and nits to cure phthiriasis palpebrarum.

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A rare cause of blepharoconjunctivitis: Phthiriasis palpebrarum

Cited by 7 publications

References 4 publications

<b><i>Phthirus pubis</i></b> Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

<b><i>Phthirus pubis</i></b> Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

Pthiriasis of the eyelashes

Crab lice infestation in unilateral eyelashes and adjacent eyelids: A case report

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