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Phthiriasis palpebrarum
  1. D M Thappa,
  2. K Karthikeyan,
  3. B Jeevankumar
  1. Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry-605006, India; dmthappa@jipmer.edu

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    A 28 year old unmarried, sexually active male came to us with generalised body itching of 15 days’ duration. He also complained of itching and irritation of eyelid margins. He had noticed some concretions attached to his eyelashes and some crawling insects over his body. He gave a history of frequent heterosexual unprotected genitogenital contacts with commercial sex workers. The last sexual contact had been about a month previously. On physical examination, both eyes appeared normal except for eyelid margins, which showed brownish scales and louse nits on the upper eyelashes (fig 1). The pubic area and thigh showed live adult crab lice clinging to the hair (fig 2). Under the light microscope, they were found …

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