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pediculosis capitis (head Lice)

Pediculosis is the clinical term for head lice.

Head lice

Main article: Pediculosis capitis from Wikipedia

Presentation

Head-louse infestation is most frequent on children aged 3–10 and their families. Approximately 3% of school children in the United States contract head lice.[4]

Females are more frequently infested than males. Those of African descent rarely suffer infestation due to differences in hair texture.[5]

Head lice are spread through direct head-to-head contact with an infested person. From each egg or "nit" may hatch one nymph that will grow and develop to the adult louse.

Lice feed on blood once or more often each day by piercing the skin with their tiny needle-like mouthparts. While feeding they excrete saliva, which irritates the skin and causes itching.[4]

Lice cannot burrow into the skin.

Diagnosis

To diagnose infestation, the entire scalp should be combed thoroughly with a louse comb and the teeth of the comb should be examined for the presence of living lice after each time the comb passes through the hair. The use of a louse comb is the most effective way to detect living lice.[6]

The most characteristic symptom of infestation is pruritus (itching) on the head which normally intensifies 3 to 4 weeks after the initial infestation. The bite reaction is very mild and it can be rarely seen between the hairs.

The most common symptom of lice infestation is itching. Excessive scratching of the infested areas can cause sores, which may become infected. In addition, body lice can be a vector for louse-borne typhus, louse-borne relapsing fever or trench fever.

Treatment

The number of diagnosed cases of human louse infestations (or pediculosis) has increased worldwide since the mid-1960s, reaching hundreds of millions annually.[7] There is no product or method which assures 100% destruction of the eggs and hatched lice after a single treatment. However, there are a number of treatment modalities that can be employed with varying degrees of success. These methods include chemical treatments, natural products, combs, shaving, hot air, and silicone-based lotions.

Epidemiology

About 6-12 million people, mainly children, are treated annually for head lice in the United States alone. High levels of louse infestations have also been reported from all over the world including Denmark, Sweden, U.K., France and Australia.[8][9] Normally head lice infest a new host only by close contact between individuals, making social contacts among children and parent child interactions more likely routes of infestation than shared combs, brushes, towels, clothing, beds or closets. Head-to-head contact is by far the most common route of lice transmission.

The United Kingdom's National Health Service, and many American health agencies [1][2][3], report that lice "prefer" clean hair, because it's easier to attach eggs and to cling to the strands.

Head lice (Pediculus humanus capitis) are not known to be vectors of diseases, unlike body lice(Pediculus humanus humanus), which are known vectors of epidemic or louse-borne typhus (Rickettsia prowazeki), trench fever (Rochalimaea quintana) and louse-borne relapsing fever (Borrellia recurrentis).

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