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Symptoms

By Mayo Clinic staff

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Illustration showing nits on hair
Head lice

Signs and symptoms of lice include:

  • Intense itching.
  • Tickling feeling from movement of hair.
  • Lice on your scalp, body, clothing, or pubic or other body hair. Adult lice may be about the size of a sesame seed or slightly larger.
  • Lice eggs (nits) on hair shafts. Nits resemble tiny pussy willow buds. Nits can be mistaken for dandruff, but unlike dandruff, they can't be easily brushed out of hair.
  • Small, red bumps on the scalp, neck and shoulders.

When to see a doctor
Usually you can get rid of lice by taking self-care steps that include using nonprescription shampoo that's specifically formulated to kill lice.

However, see your doctor if:

  • Nonprescription shampoo doesn't kill the lice — your doctor can prescribe a stronger, prescription shampoo
  • You're pregnant — don't use any anti-lice shampoo until you talk to your doctor
  • You have any infected hives or skin abrasions from scratching
References
  1. Head lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/factsheet.html. Accessed Jan. 20, 2010.
  2. Body lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/body/factsheet.html. Accessed Jan. 20, 2010.
  3. Pubic "crab" lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/pubic/factsheet.html. Accessed Jan. 20, 2010.
  4. Diaz JH. Lice (pediculosis). In: Mandell GL, et al. Mandell, Douglas, and Bennett's Priciples and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone; 2010. http://www.mdconsult.com/book/player/linkTo?type=bookPage&isbn=978-0-443-06839-3&eid=4-u1.0-B978-0-443-06839-3..00293-9. Accessed Jan. 20, 2010.
  5. Goldstein AO, et al. Pediculosis. http://www.uptodate.com/home/index.html. Accessed Jan. 20, 2010.
  6. Pollack RJ, et al. Ectoparasite infestations and arthropod bites and stings. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2898131. Accessed Jan. 20, 2010.
  7. Burkhart CN, et al. Fomite transmission in head lice. Journal of the American Academy of Dermatology. 2007;56:1044.
  8. Head lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/treatment.html. Accessed Jan. 20, 2010.
  9. Body lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/body/treatment.html. Accessed Jan. 20, 2010.
  10. Pubic "crab" lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/pubic/treatment.html. Accessed Jan. 20, 2010.
DS00368 Feb. 18, 2010

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