TY - CHAP M1 - Book, Section TI - Lice A1 - Shah, Ashish A1 - Sobolewski, Brad A1 - Mittiga, Matthew R. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - There are three varieties of lice specifically parasitic to humans: Pediculus humanus capitis (head louse), which infests the hair and scalp; Pthirus pubis (crab louse), which infests the pubic hair; and Pediculus humanus corporis (body louse). Affected patients may be asymptomatic or may have pruritus. The diagnosis is made via visual examination whereby crawling lice (nymphs and adults) and eggs (nits) are found on hair shafts. The treatment is topical pediculicides (including permethrin, malathion, benzyl alcohol, spinosad, and topical ivermectin) and wet combing to remove lice and nits. Lindane has an association with neurotoxicity, and its use should be avoided in children. Of note, nits may persist for several weeks following therapy. The differential diagnosis includes pseudonits (2- to 7-mm hair casts), psoriasis, cutaneous fungal infections, scabies, seborrheic dermatitis, and dandruff. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044698 ER -