Itching eyes after itching around the head.

GMS ophthalmology cases Pub Date : 2020-02-27 eCollection Date: 2020-01-01 DOI:10.3205/oc000136

Laura Tabuenca Del Barrio, Marcos Mozo Cuadrado, Alicia Zubicoa Enériz, Iñigo Martínez de Espronceda Ezquerro

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引用次数: 3

Abstract

Objective: To report the occurrence and management of an eyelashes infestation by Phthirus pubis. Methods: A 27-year-old female presented with itching in her right eye and head after she had been traveling in southern Italy five days earlier. Visual acuity (VA) was 20/20 in both eyes. Slit-lamp examination showed bilateral blepharitis. Moreover, mobile insects and eggs attached to the eyelashes were observed. A microbiological study was performed with a Phthirus pubis result. The patient was treated with mechanical dislodging. Results: The resolution of the infection was carried out removing every insect and egg. A vaseline application twice daily for 7 days was necessary to stifle any nits that could remain. Conclusions: The eyelashes pediculosis is frequently caused by Phthirus pubis. Only a minor percentage of the cases are due to Phthirus capitis, but the differential diagnosis is essential: there are Phthirus pubis pediculosis cases due to sexual abuse. A sexual history and screening for other sexually transmitted diseases is warranted.

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头周围痒后眼睛痒。

目的:报道阴毛癣致睫毛感染的发生及处理。方法:一名27岁的女性患者在意大利南部旅游5天后出现右眼和头部瘙痒。双眼视力(VA)为20/20。裂隙灯检查显示双侧睑炎。此外，还观察到附着在睫毛上的活动昆虫和卵。进行了一项微生物学研究，结果是耻骨Phthirus。病人采用机械脱位治疗。结果:除虫除卵均得到有效解决。每天两次凡士林应用，连续7天是必要的，以扼杀任何可能留下的尼特。结论:睫蒂病多由耻骨癣引起。只有一小部分病例是由于头皮癣，但鉴别诊断是必不可少的:有耻骨皮癣病例由于性虐待。性生活史和其他性传播疾病的筛查是必要的。

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GMS ophthalmology cases

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6 weeks