PUBIC LICE

          

        Crab lice are small , light brown, flat insects that cling to the pubic hair,
    suck blood for nourishment, and fix their eggs ( nits ) to the pubic hairs.
    the blood sucking may cause little red sores and itching. Crab lice are 
    almost always spread by close physical contact.  They prefer pubic hair
    and do not voluntarily leave the body.

                      

    Transmission

     The disease is transmitted mainly by close contact, including sexual activity.

    Diagnosis 

    Observation of pubic lice or nits attached to the hair. The diagnosis is 
    suggested by a history of itching and exposure to lice or observation
    of crabs by the patient. Pubic lice can also involve eyelashes, eyebrows,
    beard and body hair. These areas should be examined. 

    Treatment

     Permethrin 1% cream -   rinse topical cream from chest to knees and
     wash off after 10 minutes with repeated treatment  1 week later.
     Permethrin should be applied to clean and cool skin. You should not 
     take a hot bath or shower prior to treatment.

     Apply to infected and adjacent hairy areas.
 
     Nits should be removed with a fine toothe comb.

     Sex partners should be treated at the same time.

     Clothing and bed linen contaminated by anyone infected within the
     previous 2 days should be washed and dried by machine ( hot cycle )
     or dry cleaned.

     If the eyelashes are infected, white soft paraffin ( Lacri-Lube) can be 
     applied to the lashes and then the eggs removed, twice a day. This 
     treatment should be continued for 7 - 10 days.

       
                                                                   

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                               KENNETH GOODRICH, M.D.  -  OBSTETRICIAN- GYNECOLOGIST    
     
                                           Certified by the American Board of Obstetrics and Gynecology

           Specializing in General Obstetrics and Gynecology, Minimally Invasive Gynecological Surgery- Hysterectomies
              and Uterine Fibroids, HPV treatment for Women and Men, Surgery on Obese Women,  Chronic Vaginal
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