Symptoms
By Mayo Clinic staffSigns 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
- Head lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/factsheet.html. Accessed Jan. 20, 2010.
- Body lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/body/factsheet.html. Accessed Jan. 20, 2010.
- Pubic "crab" lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/pubic/factsheet.html. Accessed Jan. 20, 2010.
- 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.
- Goldstein AO, et al. Pediculosis. http://www.uptodate.com/home/index.html. Accessed Jan. 20, 2010.
- 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.
- Burkhart CN, et al. Fomite transmission in head lice. Journal of the American Academy of Dermatology. 2007;56:1044.
- Head lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/treatment.html. Accessed Jan. 20, 2010.
- Body lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/body/treatment.html. Accessed Jan. 20, 2010.
- Pubic "crab" lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/pubic/treatment.html. Accessed Jan. 20, 2010.

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