Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- scalp pruritus
- live nymphal or adult louse
- eggs visible on hair shaft within 1 cm of scalp
Otros factores de diagnóstico
- small red papules under hairline at nape of neck
- lymphadenopathy
- erythema with honey-colored crust on scalp
Factores de riesgo
- 3 to 12 years of age
- female sex
- close contact with an infested individual
- overcrowding or close living conditions
- low socioeconomic status
- poor hygiene
- contact with contaminated clothes, hair care items, bedding
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- no tests required
Algoritmo de tratamiento
children <2 months of age
children ≥2 months and <2 years of age
children ≥2 years of age and adults
Colaboradores
Autores
Aicha Salhi, MD
Professor of Dermatology
Faculty of Medicine
University of Algiers
Algeria
Divulgaciones
AS declares that she has no competing interests.
Agradecimientos
Professor Aicha Salhi would like to gratefully acknowledge Professor Hermann Feldmeier and Professor Barbara L. Frankowski, previous contributors to this topic.
Divulgaciones
HF has received consultant and lecture fees from Pohl-Boskamp GmbH, and Co KG, Hohenlockstedt, Germany, and Almirall Hermal GmbH, Reinbek, Germany; both companies produce various anti-head louse compounds. He is also an author of several references cited in this topic. BLF is an author of a reference cited in this topic.
Revisores por pares
Richard J. Pollack, PhD
Research Associate
Laboratory of Public Health Entomology
Department of Immunology and Infectious Diseases
Harvard School of Public Health
Boston
MA
Divulgaciones
RJP has received a research donation by Taro Pharmaceuticals (manufacturer of Ovide) and has been compensated as an independent consultant for scientific review services by Topaz Pharmaceuticals, Hatchtech, and ParaPro, each developing products for the US market. RJP holds no financial interest in any of these companies or their products. RJP is an author of several references cited in this topic.
Ian F. Burgess, MSc, MPhil
Professor
Director
Medical Entomology Centre
University of Cambridge
Cambridge
UK
Divulgaciones
IFB has been a consultant to various manufacturers of pharmaceutical products, alternative therapies, and combs for treating louse infections. IFB is an author of a number of references cited in this topic.
Kosta Y. Mumcuoglu, PhD
Professor
Department of Parasitology
Hebrew University-Hadassah Medical School
Jerusalem
Israel
Divulgaciones
KYM is an author of several references cited in this topic.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
American Academy of Pediatrics, Nolt D, Moore S, et al. Head Lice. Pediatrics. 2022 Oct 1;150(4):e2022059282.Texto completo Resumen
Cummings C, Finlay JC, MacDonald NE et al. Head lice infestations: a clinical update. Paediatr Child Health. 2024 Jan 11;23(1):e18-24.Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

Diferenciales
- Seborrheic dermatitis
- Other objects in hair
Más DiferencialesGuías de práctica clínica
- Treatment of head lice
- Clinical report: head lice
Más Guías de práctica clínicaFolletos para el paciente
Head lice
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