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Head lice

Head lice

Head lice
Head lice
Nit on human hair
Nit on human hair
Lice, head - nits in the hair with close-up
Lice, head - nits in the hair with close-up
Head louse emerging from egg
Head louse emerging from egg
Head louse, male
Head louse, male
Head louse - female
Head louse - female
Head louse infestation - scalp
Head louse infestation - scalp

Definition:

Head lice are tiny insects that live on the scalp. They can be spread by close contact with other people.

These lice only live in hair and occasionally eyebrows and eyelashes.

See also:

Body lice 

Pubic lice

Alternative Names:
Lice - head; Nits; Pediculosis capitis - head lice
Causes, incidence, and risk factors:

Head lice infect hair on the head. They are easiest to see on the neck and over the ears. Tiny eggs on the hair look like flakes of dandruff. However, instead of flaking off the scalp, they stay put.

Head lice can survive up to 30 days on a human. Their eggs can live for more than 2 weeks.

Head lice spread easily. You can get head lice when you come in close contact with an infested person or touch their clothing or bedding. Head lice are more common in close, overcrowded living conditions. Lice spread easily among school children.

Having head lice is NOT an indicator of poor hygiene or low social status.

Head lice causes intense itching, but does not lead to a serious medical problem. Unlike body lice, head lice never carry or spread diseases.

Symptoms:
  • Intense itching of the scalp
  • Small, red bumps on the scalp, neck, and shoulders
  • Bumps may become crusty and ooze
  • Tiny white specks (eggs, or nits) on the bottom of each hair that are hard to get off

Lice on scalp and clothing may be difficult to see, unless the infestation is heavy. If you see something moving, it's called a louse.

Signs and tests:

To see head lice, you need to look closely. Use disposable gloves and look at the person's head under a bright lead. Full sun or the brightest lights in your home during daylight hours work well. A magnifying glass can also help.

Part the hair all the way down to the scalp in very small sections, looking both for moving lice and eggs (nits). Look at the entire head this way. Look closely around the top of the neck and ears, the most common locations for eggs.

Treatment is recommended if even one egg is found.


Review Date: 3/17/2006
Reviewed By: John Goldenring, MD, MPH, Department of Pediatrics, Children's Hospital, San Diego, CA. Review provided by VeriMed Healthcare Network.

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