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This article is about the disease. For the animal known as crab louse, see Crab louse.
Pediculosis pubis
Classification and external resources
SOA-Pediculosis-pubis.jpg
Pubic lice in genital area
ICD-10 B85.3
ICD-9 132.2
DiseasesDB 10028
MedlinePlus 000841
eMedicine med/1769
MeSH D010373
Pubic lice on the abdomen
Pubic lice on the eyelashes

Pediculosis pubis (also known as "crabs" and "pubic lice"[1]) is a disease caused by the pubic louse, Pthirus pubis, a parasitic insect notorious for infesting human pubic hair. The species may also live on other areas with hair, including the eyelashes, causing pediculosis ciliaris. Infestation usually leads to intense itching in the pubic area. Treatment with topic agents such as permethrin or pyrethrin with piperonyl butoxide is exceedingly effective. Worldwide it affects about 2% of the population.

Classification[edit]

Infestation with pubic lice is also called phthiriasis or phthiriasis pubis, while infestation of eyelashes with pubic lice is called phthiriasis palpebrarum or pediculosis ciliarum.[2] The disease is spelled with phth, even though the scientific name of the louse is spelled with pth.

Signs and symptoms[edit]

The main symptom is itching, usually in the pubic-hair area, resulting from hypersensitivity to louse saliva, which can become stronger over two or more weeks following initial infestation.[3] In some infestations, a characteristic grey-blue or slate coloration macule appears (maculae caeruleae) at the feeding site, which may last for days.[3] Nits or live lice may also be visible to the unaided eye.[3] [4]

Parasitology[edit]

Main article: Crab louse

Characteristics[edit]

Pubic lice are between 1 and 3 mm long with 6 legs.[3]

Transmission[edit]

Pubic lice are usually acquired by intimate contact between individuals.[3] Parent-to-child infestations are more likely to occur through routes of shared towels, clothing, beds or closets. Adults are more frequently infested than children. As with most sexually transmitted pathogens, they can only survive a short time away from the warmth and humidity of the human body.

Infection in a young child or teenager is not necessarily indicative of sexual abuse, although this possibility should be kept in mind.[5][6]

Diagnosis[edit]

A pubic louse infestation is usually diagnosed by carefully examining pubic hair for nits, nymphs, and adult lice.[3] Lice and nits can be removed either with forceps or by cutting the infested hair with scissors (with the exception of an infestation of the eye area). A magnifying glass or a stereo-microscope can be used for the exact identification. If lice are detected in one family member, the entire family needs to be checked and only those who are infested with living lice should be treated.

Testing for other sexually transmitted infections is recommended in those who are affected.[3]

Treatment[edit]

Pediculosis pubis[edit]

Recommended treatments include the topical agents permethrin or pyrethrins with piperonyl butoxide.[3] Lindane is a second line treatment due to concerns of toxicity.[3] The Centers for Disease Control and Prevention (CDC) states that lindane should not be used by persons who have extensive dermatitis, women who are pregnant or lactating or children aged under two years.[7] The FDA similarly warns against use in patients with a history of uncontrolled seizure disorders and cautious use in infants, children, the elderly, and individuals with other skin conditions (e.g., atopic dermatitis, psoriasis) and in those who weigh less than 110 lbs (50 kg).[8][9]

Bedding and clothing should be laundered and sexual contact should be avoided until cured.[3] A second treatment is occasionally required if not improved after 3 to 7 days.[3]

Pubic lice are primarily spread through sexual intercourse. Therefore, all partners with whom the patient has had sexual contact within the previous 30 days should be evaluated and treated, and sexual contact should be avoided until all partners have successfully completed treatment and are thought to be cured. Because of the strong association between the presence of pubic lice and classic sexually transmitted infections (STIs), patients diagnosed with pubic lice should undergo evaluation for other STIs.

Pediculosis ciliaris[edit]

Infections of the eyelashes may be treated with either petroleum jelly applied twice daily for 10 days or malathion, phenothrin and carbaryl.[3]

Epidemiology[edit]

Current worldwide prevalence has been very approximately estimated at two percent of the human population. Accurate numbers are difficult to acquire, because pubic lice infestations are not considered a reportable condition by many governments, and many cases are self-treated or treated discreetly by personal physicians.[10]

Although any part of the body may be colonized, crab lice favor the hairs of the genital and peri-anal region. Especially in male patients, pubic lice and eggs can also be found in hair on the abdomen and under the armpits, as well as on the beard and mustache, while in children they are usually found in eyelashes.

It has recently been suggested that an increasing percentage of humans removing their pubic hair has led to reduced crab louse populations in some parts of the world.[11][12]

In animals[edit]

Humans are the only known hosts of this parasite, although a closely related species, Pthirus gorillae, infects gorilla populations.[13]

References[edit]

  1. ^ Ronald P. Rapini, Jean L. Bolognia & Joseph L. Jorizzo (2007). Dermatology. St. Louis: Mosby. ISBN 1-4160-2999-0. 
  2. ^ N. P. Manjunatha, G. R. Jayamanne, S. P. Desai, T. R. Moss, J. Lalik & A. Woodland (2006). "Pediculosis pubis: presentation to ophthalmologist as pthriasis palpebrarum associated with corneal epithelial keratitis". International Journal of STD & AIDS 17 (6): 424–426. doi:10.1258/095646206777323445. 
  3. ^ a b c d e f g h i j k l P. A. Leone (2007). "Scabies and pediculosis pubis: an update of treatment regimens and general review". Clinical Infectious Diseases 44 (Suppl. 3): S153–S159. doi:10.1086/511428. PMID 17342668. 
  4. ^ John O'Donel Alexander (1984). Arthropods and Human Skin. Berlin: Springer. ISBN 978-1-4471-1358-4. 
  5. ^ Sidney Klaus, Yigal Shvil & Kosta Y. Mumcuoglu (1994). "Generalized infestation of a 3½-year-old girl with the pubic louse". Pediatric Dermatology 11 (1): 26–28. doi:10.1111/j.1525-1470.1994.tb00068.x. PMID 8170844. 
  6. ^ José A. Varela, Luis Otero, Emma Espinosa, Carmen Sánchez, María Luisa Junquera & Fernando Vázquez (April 2003). "Phthirus pubis in a sexually transmitted diseases unit: a study of 14 years". Sexually Transmitted Diseases 30 (4): 292–6. doi:10.1097/00007435-200304000-00004. PMID 12671547. 
  7. ^ U.S. Centers for Disease Control and Prevention (CDC). Ectoparasitic infections. Sexually transmitted diseases treatment guidelines. 2006" MMWR Recomm Rep 2006, August 10;55 (No. RR-11) 79-80.
  8. ^ Lindane shampoo, USP, 1% prescribing information. Updated March 28, 2003.
  9. ^ (FDA). Lindane Post Marketing Safety Review (PDF). Posted 2003.
  10. ^ Alice L. Anderson & Elizabeth Chaney (2009). "Pubic lice (Pthirus pubis): history, biology and treatment vs. knowledge and beliefs of US College students". International Journal of Environmental Research and Public Health 6 (2): 592–600. doi:10.3390/ijerph6020592. PMC 2672365. PMID 19440402. 
  11. ^ N. R. Armstrong & J. D. Wilson (2006). "Did the "Brazilian" kill the pubic louse?". Sexually Transmitted Infections 82: 265–266. doi:10.1136/sti.2005.018671. PMC 2564756. PMID 16731684. 
  12. ^ Bloomberg: Brazilian bikini waxes make crab lice endangered species, published 13 January 2013, retrieved 14 January 2013
  13. ^ Robin A. Weiss (2009). "Apes, lice and prehistory". Journal of Biology 8 (2): 20. doi:10.1186/jbiol114. PMC 2687769. PMID 19232074. 

External links[edit]


Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Pediculosis_pubis — Please support Wikipedia.
This page uses Creative Commons Licensed content from Wikipedia. A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia.
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27 news items

Esmas.com

Esmas.com
Thu, 13 Nov 2014 07:12:43 -0800

En términos médicos se le denomina Pediculosis Pubis y sí, aún existe infección por piojos en los vellos genitales. [No te pierdas: ETS, ¿las conoces bien?] La más frecuentes son: Ladillas sexuales o piojos púbicos. Se les llama también piojos púbicos.

PCT Magazine

PCT Magazine
Tue, 21 Oct 2014 05:33:45 -0700

Pubic lice infestations are known as pediculosis pubis or pthiriasis and is caused by Pthirus pubis. The lice occur almost exclusively in the pubic or perianal areas, rarely on eyelashes, eyebrows or other coarse-haired areas. They feed on human blood ...
 
Brian Madden (blog)
Mon, 29 Sep 2014 21:09:38 -0700

Or that same pediculosis pubis and lobsters, insects experience exoskeleton in the cupboards skeleton in <a href = "minzdravso.ru of love </a> on the outside of their torsos? In anger, I oppose wish an animal. After splitting players into two radicals ...
 
About - News & Issues
Wed, 03 Nov 2010 11:42:07 -0700

It has an elongated body type and is the most common organism found in childhood lice infestations. Pediculosis corporis: Similar to pediculos capitis, this type of lice usually infects the hair on your body, particularly the abdomen. Pediculosis pubis ...
 
The Hook
Thu, 15 May 2008 04:44:35 -0700

Pediculosis pubis is usually sexually transmitted– the creatures look like tiny translucent crabs, without the Old Bay seasoning. An adult female is 2-3mm long, lives about a month, and lays three eggs a day. The nits and lice hang out in the pubic ...

Junkee

Junkee
Sun, 12 May 2013 22:50:31 -0700

So boy buys a package of Pediculosis pubis from the Internet, questionably gains access to girl's home and introduces an infestation of said lice to her bedding and/or intimate apparel? If so, cancel my OkCupid account and put my pussy in a sarcophagus ...
 
The Global Dispatch
Mon, 08 Jul 2013 05:45:00 -0700

In a matter of seconds, you can access detailed recommended regimens for treating gonorrhea in the pharynx in adolescents and adults or the recommended or alternate regimens for treating Pediculosis Pubis. In addition, there is treatment guidelines for ...

InforMed

InforMed
Mon, 29 Sep 2014 01:15:00 -0700

A külső nemi szerveken lévő fájdalmas sebesedést herpesz fertőzés vagy tályog okozhatja. A fájdalmatlan kisebesedés oka rák vagy szifilisz lehet. A szeméremszőrzetben élő tetvek a külső nemi szervek területének viszketését okozzák (pediculosis pubis).
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