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Case Reports in Medicine
Volume 2015, Article ID 287906, 3 pages
Case Report

Treatment of Phthiriasis Palpebrarum and Crab Louse: Petrolatum Jelly and 1% Permethrin Shampoo

1Department of Ophthalmology, Esenler Hospital, Istanbul Medipol University, Esenler, 34230 Istanbul, Turkey
2Department of Dermatology, Esenler Hospital, Istanbul Medipol University, Esenler, 34230 Istanbul, Turkey
3Department of Clinical Microbiology and Infection Disease, Bakirkoy Dr. Sadi Konuk Training & Research Hospital, Bakirkoy, 34147 Istanbul, Turkey

Received 8 August 2015; Accepted 31 August 2015

Academic Editor: Jeffrey M. Weinberg

Copyright © 2015 Yunus Karabela et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Phthiriasis palpebrarum is an uncommon cause of blepharoconjunctivitis in which Pthirus pubis infest the eyelashes. We report a case of unilateral phthiriasis palpebrarum with crab louse. A 45-year-old man presented with conjunctival hyperaemia and moderate itching associated with irritation, and crusty excretions of the eyelashes in the left eye. Careful slit-lamp examination revealed many lice and nits in left eye and mild conjunctival hyperaemia. No abnormality was found in the right eye. On dermatologic examination, only one louse was found at the pubic area. The patient was treated effectively with petrolatum jelly (Vaseline) and 1% permethrin shampoo (Kwellada 1% shampoo). At the end of the first week no louse or nit was present on eyelashes and pubic area.