Phthiriasis palpebrarum.
نویسندگان
چکیده
To cite: Panos GD, Petropoulos IK, Dardabounis D, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009272 DESCRIPTION A 61-year-old woman was admitted to the hospital because of itching, burning sensation and moderate pain of 3 months duration in her right eye. Her ophthalmologist diagnosed common anterior blepharitis and prescribed a combination of antibiotic and corticosteroid eye drops. Best corrected visual acuity was 20/20 in both eyes, intraocular pressure was 15 mm Hg right eye and 14 mm Hg left eye. Slit lamp examination revealed nits anchored to the eyelashes (figure 1). Moving insects were observed hanging from the eyelashes (red arrow, figure 1). We mechanically removed some of the eyelashes, including lice and nits, with the use of fine forceps and advised the patient to apply yellow oxide of mercury ointment 1% three times daily over the lid margins. Ten days later, the eyelashes were clear of all lice and nits. We continued the same treatment once daily for about 3 weeks. The patient was followed-up once every 15 days for 2 months. There was complete cure without any recurrence. Phthiriasis palpebrarum is an uncommon condition in developed countries and appears in cases of bad hygiene. Sometimes this disease can be misdiagnosed as common blepharitis. There are a number of treatment options for phthiriasis palpebrarum including cryotherapy, argon laser photocoagulation, fluorescein eye drops 20%, physostigmine 0.25%, lindane 1%, petroleum gel, yellow mercuric oxide ointment 1%, malathion drops 1% or malathion shampoo 1%, oral ivermectin and pilocarpine gel 4%. However, the most popular and simplest treatment is direct removal of the parasites with forceps. Family members, sexual and close contacts should all be examined and treated appropriately, if necessary.
منابع مشابه
Yellow mercuric oxide: a treatment of choice for phthiriasis palpebrarum.
Thirty-five patients presenting with phthiriasis palpebrarum were all treated with a regimen of 1% yellow oxide of mercury ointment four times daily for 14 days. At the conclusion of treatment there was complete resolution of the signs and symptoms of the disease. No side effects due to the treatment were reported or detected. We have shown that 1% mercuric oxide ointment is both a safe and eff...
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Phthiriasis palpebrarum is an infestation of the eyelashes caused by the louse Pthirus pubis (Linnaeus, 1758). We report a case of phthiriasis palpebrarum in a 6-year-old girl, which was initially misdiagnosed as allergic blepharoconjunctivitis. Parasites and their nits were found adhering to the eyelashes and eyelids of her right eye as well as scalp hairs. No abnormality was found in the left...
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An 8-year-old mentally retarded boy is brought to the hospital because of itching and burning at his right eye for 10 days. He was on full time right eye occlusion therapy for left amblyopia. Slit lamp examination revealed nits and adult lice anchored to the eyelashes in his occluded eye. Eyelashes and all detected lice and nits were mechanically trimmed, and sent for parasitological examinatio...
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Phthiriasis palpebrarum is an uncommon cause of blepharoconjunctivitis in which Pthirus pubis infest the eyelashes. We report a case of unilateral phthiriasis palpebrarum with crab louse. A 45-year-old man presented with conjunctival hyperaemia and moderate itching associated with irritation, and crusty excretions of the eyelashes in the left eye. Careful slit-lamp examination revealed many lic...
متن کاملPhthiriasis palpebrarum: an unusual blepharoconjunctivitis.
Phthiriasis palpebrarum is an unusual cause of blepharoconjunctivitis and may easily be overlooked because of the failure of physicians to recognize Phthirus pubis. We report a case of a 30-year-old woman with persistent itching in the left eyelid which was unsuccessfully treated under the diagnosis of allergic blepharoconjunctivitis. Careful ophthalmic examination revealed seven bugs with mult...
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عنوان ژورنال:
- BMJ case reports
دوره 2013 شماره
صفحات -
تاریخ انتشار 2013