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THROUGH THE LENS
Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 125  

Phthiriasis palpebrarum in a psychiatric patient


1 Department of Orbit, Aravind Eye Hospital, Madurai, Tamil Nadu, India
2 Department of Vitreo-Retina, Aravind Eye Hospital, Madurai, Tamil Nadu, India
3 Department of Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Date of Web Publication13-Jan-2020

Correspondence Address:
Chitaranjan Mishra
Department of Vitreo-Retina, Aravind Eye Hospital, Anna Nagar, Madurai, Tamil Nadu - 625 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_70_19

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How to cite this article:
Kim U, Mishra C, Dheera MS. Phthiriasis palpebrarum in a psychiatric patient. Indian Dermatol Online J 2020;11:125

How to cite this URL:
Kim U, Mishra C, Dheera MS. Phthiriasis palpebrarum in a psychiatric patient. Indian Dermatol Online J [serial online] 2020 [cited 2020 Jan 20];11:125. Available from: http://www.idoj.in/text.asp?2020/11/1/125/261243



A 20-year-old man presented with irritation and itching in both eyes for past 1 month. He was on psychiatric medications and was living in an overcrowded psychiatric rehabilitation center for a 1 year. Slit lamp examination revealed several crab lice ([Figure 1], arrow mark) along with their nits ([Figure 1], star marks) on the eyelashes of both the eyes. A diagnosis of phthiriasis palpebrarum was made and the patient was treated with topical application of 20% fluorescein solution followed by mechanical removal of all lice and nits.[1] He was also prescribed ciprofloxacin eye ointment for 2 weeks. After 2 weeks, his symptoms completely subsided and slit lamp examination revealed absence of any lice or nits. Phthiriasis palpebrarum is often missed due to deep attachment of the lice in the lid margin and hence is often misdiagnosed as allergic conjunctivitis or blepharitis.[2] Phthiriasis pubis with itching in perianal and pubic region is a common association of this condition and sexual contact or close contact with an already infested patient has been described as the most common mode of transmission. However, our case did not complain of itching in perianal and pubic region and on inspection there were no louse or nits in his pubic region.[2],[3]
Figure 1: Adult louse (arrow mark) and nits (star marks) of phthiriasis palpebrarum on the eyelashes of the patient

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Mathew M, D'Souza P, Mehta DK. A new treatment of phthiriasis palpebrarum. Ann Ophthalmol 1982;14:439-41.  Back to cited text no. 1
    
2.
Khan T. Phthiriasis palpebrarum presenting as anterior blepharitis. Indian J Public Health 2018;62:239-41.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Charfi F, Ben Zina Z, Maazoun M, Kharrat W, Sellami D, Makni F, et al. Phthiriasis pubis palpebrarum in children. Diagnosis and treatment. J Fr Ophtalmol 2005;28:765-8.  Back to cited text no. 3
    


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