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Head lice Health Article

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Definition

Head lice are tiny insects that live on the scalp. They can be spread by close contact with other people.

These lice only live in hair and occasionally eyebrows and eyelashes.

See also:

Alternative Names

Lice - head; Nits; Pediculosis capitis - head lice

Causes, incidence, and risk factors

Head lice infect hair on the head. They are easiest to see on the neck and over the ears. Tiny eggs on the hair look like flakes of dandruff. However, instead of flaking off the scalp, they stay put.

Head lice can survive up to 30 days on a human. Their eggs can live for more than 2 weeks.

Head lice spread easily. You can get head lice when you come in close contact with a person who has lice, or by touching their clothing or bedding. Head lice are more common in close, overcrowded living conditions. Lice spread easily among school children.

Having head lice does NOT mean the person has poor hygiene or low social status.

Having head lice causes intense itching, but does not lead to serious medical problems. Unlike body lice, head lice never carry or spread diseases.

Symptoms

  • Intense itching of the scalp
  • Small, red bumps on the scalp, neck, and shoulders (bumps may become crusty and ooze)
  • Tiny white specks (eggs, or nits) on the bottom of each hair that are hard to get off

Lice on scalp and clothing may be difficult to see, unless the infestation is heavy. If you see something moving, it's called a louse.

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Review Info

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., 03/14/2009

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