Rare Manifestations of Phthirus Pubis on the Eyelids of a Child withChronic Blepharitis
2020
years old boy.
Case Illustration
A 5-year-old boy came with his parents complaining of itching of the eyelids for 2 months ago. The caregiver of the
patient had complaints of itching in the genitals for 6 months ago. This symptom was unresponsive to topical antibiotics
started 1 month before the consultation. Examination of the eyelids revealed a lot of crabs-like lice and nits that attached
to the upper eyelashes of both eyes. A papillary reaction in the tarsal conjunctival of both eyes was noted. The treatment
was the mechanical removal of lice and nits by using epilation forceps. The caregiver has treated with permethrin 1%
lotion once a week. There were no lice and nits in 2 weeks after.
Discussion
Misdiagnosis of phthiriasis palpebrarum leads to inappropriate management and increases the chance of complication to
conjunctiva and cornea tissue. The treatment is mechanical lice and egg removal and medication. Pharmacologic
treatment was antibiotic ointment, petrolatum jelly, or 4% pilocarpine jelly as a medium for occlusion. Giving oral
ivermectin can paralyze the peripheral neurovascular system of lice. The administration of systemic therapy is indicated
for the involvement of a large area of the infestation. Mechanical removal of lice and nit alone was effective in this case.
Conclusion
Eyelashes examination under a slit lamp or magnifying lens is important to avoid misdiagnosis of chronic blepharitis.
Mechanical removal is sufficient in the management of phthiriasis palpebrarum.
Keyword
Phthirus Pubis, Blepharitis, Lice
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
0
References
0
Citations
NaN
KQI