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. 2011;4(6):676-7.
doi: 10.3980/j.issn.2222-3959.2011.06.20. Epub 2011 Dec 18.

A peculiar case of eye pruritus: Phthiriasis palpebrarum initially misdiagnosed as common blepharitis

Jin Jiang  1 , Ting Shen, Chao-Yang Hong
Affiliations

A peculiar case of eye pruritus: Phthiriasis palpebrarum initially misdiagnosed as common blepharitis

Jin Jiang et al. Int J Ophthalmol. 2011.
No abstract available

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Figures

Figure 1
Figure 1. The upper lid margin of the patient's right eye under the slit-lamp. Small brown protuberance with dark spots (black arrow) was finally proved to be Phthirus pubis buried in the lid margin. A few rusty granules adhered to the upper lid and the eyelashes (blue arrow). No moving insects were observed around the lid
Figure 2
Figure 2. The upper lid under the slit-lamp after the scab-like protuberance was removed. The place where the protuberance preexisted appeared as superficial ulcers with smooth base (black arrow)
Figure 3
Figure 3. The protuberance removed was proved to be a crablike Phthirus pubis under high power lens. It was excreting the rusty granules (feces) from its abdomen (black arrow)
See this image and copyright information in PMC

References

    1. Thappa DM, Karthikeyan K, Jeevankumar B. Phthiriasis palpebrarum. Post grad Med J. 2003;79:102. - PMC - PubMed
    1. Lòpez GJ, Garcìa LI, Martìnez GJ. Phthiriasis palpebrarum: diagnosis and treatment. Arch Soc Esp Oftalmol. 2003;78:365–374. - PubMed
    1. Turow VD. Phthiriasis palpebrarum: an unusual cause of blepharitis. Arch Pediatr Adolesc Med. 1995;149:704–705. - PubMed

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