Phthiriasis Palpebrarum Treated with Oral Ivermectin
Justin H. Dredge, Timothy W. Winter, Adel E. AlsetRead More
A 74-year-old man presented with 1-month history of chronic eyelid irritation (Fig A). Physical examination was remarkable for lice (Fig B, arrow 1) and egg casings (Fig B, arrows 2-3) on eyelashes consistent with Phthiriasis palpebrarum infection. A thorough sexual and social history revealed possible source contamination of facial use of a public, reusable cloth roll towel system. The patient was prescribed oral ivermectin 200 mcg/kg × 2 doses spaced 2 weeks apart. On follow up examination 4 weeks later, the patient had resolution of symptoms and no evidence of continued infection (Fig C).