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Pubic Lice and Scabies
Pubic Lice and Scabies
Pubic lice (often called "crabs") and Scabies (itch
mites) are tiny insects that live on the skin. They are sometimes
spread sexually, but you can also pick them up by using the
same bed linen, clothes, or towels as an infected person. Scabies,
an itchy rash, is the result of a female mite burrowing into
a person's skin to lay her eggs. Pubic lice infect hairy parts
of the body, especially around the groin and under the arms.
Their eggs can be seen on the hair close to the skin, where
they hatch in 5 to 10 days.
Symptoms
Although some people infected with pubic lice have no symptoms,
you may experience considerable itching around the genitals.
You may see light-brown insects the size of a pinhead moving
on the skin or oval eggs attached to your body hair. The main
symptom of scabies is itching, especially at night. A rash
may appear in the folds of skin between the fingers or on
the wrists, elbows, abdomen, or genitals.
Testing
If you think you may have pubic lice or scabies, see your
healthcare provider. They can determine whether or not you
need to seek treatment.
Treatment
The most effective treatments include shampoos and creams
that contain lindane or a related compound. You can treat
pubic lice at home with these special creams, lotions, and
shampoos available in drugstores without a prescription. Follow
directions carefully. The infestation may be stubborn, and
you may need to repeat the treatment. Do not try to treat
scabies on your own. Avoid close contact with others if you
have scabies or pubic lice. Wash clothes and bed linen in
hot water, or dry-clean or press them with a very hot iron.
If you have scabies or pubic lice, be sure to tell your sex
partners. Anyone with whom you've had close contact or who
has shared your bed linen, clothes, or towels should be treated,
even if they don't have an itch or rash.
Prevention
Scabies and pubic lice are transmitted through contact with
an infected area on another person or through contact with
infested materials such as sheets and towels. The best way
to protect yourself is to know your partner's sexual history
and to dry-clean materials that you think may carry scabies
or pubic lice.
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