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Incidence of Phthiriasis palpebrarum caused by pubic lice Pthirus pubisin Al-Sulaimaniyah province, Kurdistan region, Iraq

Phthiriasis palpebrarum is a rare infection caused by pubic lice Pthirus pubis. Thisparasite has become a public health problem since itinfestshuman eyes and has beenlinked with other infections like keratitis, conjunctivitis and blepharitis. The presentstudy was carried out on 2325 patients attended Doctor Shahid Aso Hospital in Al-Sulaimaniyah province, Kurdistan region, Iraq from January to November 2017. Fourpatients were observed to have symptoms like itching, redness, swollen of the eyelidswith the presence of tiny white objects at the base of their eyelashes . Throughexamination using slit lamp and florescent microscopes, it was observed that theinfections were caused by infestation with adults and nymphs of Pthirus pubis. Liceand nits were removed mechanically using fine forceps followed by treatment of thepatients with erythromycin eye ointment. All the patients were treated successfully. Tothe best of our knowledge this is the first documentation of phthariasis papebrarum inKurdistan and Iraq. Further studies are required for better understanding the ecology,phylogeny and the potential of disease transmission of the parasite.