page_title: Crab louse
section_title: Infestation of humans
hierarchical_section_title: Crab louse / Infestation of humans
caption_attribution_description: English: Crab egg on humain body hair Français&#160;: Oeuf de Phtirus pubis sur poil corporel humain
context_page_description: The crab louse or pubic louse is an insect that is an obligate ectoparasite of humans, feeding exclusively on blood. The crab louse usually is found in the person's pubic hair. Although the louse cannot jump, it can also live in other areas of the body that are covered with coarse hair, such as the eyelashes. It is of the order Psocodea.
  Humans are the only known hosts of the crab louse, although a closely related species, Pthirus gorillae, infects gorilla populations. The human parasite diverged from Pthirus gorillae approximately 3.3 million years ago. It is more distantly related to the genus Pediculus, which contains the human head and body lice and a louse that affects chimpanzees and bonobos.
context_section_description: Infestations of crab lice are known as pediculosis pubis or phthiriasis pubis (which, unlike the generic name of the louse, is spelled with a phth). Infestation of the eyelashes is referred to as pediculosis ciliaris or phthiriasis palpebrarum.
  The main symptom of infestation with crab lice is itching, usually in the pubic-hair area, resulting from hypersensitivity to louse saliva, which can become stronger over two or more weeks following initial infestation. In some infestations, a characteristic grey-blue or slate coloration appears (maculae caeruleae) at the feeding site, which may last for several days.
  Current worldwide prevalence has been estimated at 2% of the human population, but accurate numbers are difficult to gauge because crab lice infestations are not considered a reportable condition by many governments, and many cases are self-treated or treated discreetly by primary physicians.
  It has been suggested that an increasing percentage of humans removing their pubic hair has led to  reduced crab louse populations in some parts of the world. Other lice that infest humans are the body louse and the head louse. The claws of these three species are adapted to attachment to specific hair diameters.
  Pubic lice are not known to transmit disease. Adult pubic lice are 1.1–1.8 mm in length. The pubic hair can typically host up to a dozen on average. Pubic lice typically are found attached to hair in the pubic area but sometimes are found on coarse hair elsewhere on the body (for example, eyebrows, eyelashes, beard, mustache, chest, armpits, etc.). They do not generally occur on the finer hair of the scalp. Crab lice attach to pubic hair that is thicker than other body hair because their claws are adapted to the specific diameter of pubic hair. Pubic lice infestations (pthiriasis) are usually spread through sexual contact. The crab louse can travel up to 25 cm (10 in) on the body. Pubic lice infestation is found worldwide and occurs in all races and ethnic groups and in all economic levels. Pubic lice usually are spread through sexual contact and are most common in adults. Occasionally pubic lice may be spread by close personal contact or contact with articles such as clothing, bed linens, and towels that have been used by an infested person.
  Pubic lice found on the head or eyelashes of children may be an indication of sexual exposure or abuse. Pubic lice do not transmit disease; however, secondary bacterial infection can occur from scratching of the skin. They are much broader in comparison to head and body lice. Adults are found only on the human host and require human blood to survive. If adults are forced off the host, they will die within 24–48 hours without a blood feeding.
  Symptoms of crab louse infestation in the pubic area include itching, redness and inflammation. These symptoms cause increased blood circulation to the skin of the pubic region creating a blood-rich environment for the crab louse. Pubic lice infestation can also be diagnosed by identifying the presence of nits or eggs on the pubic hair. When clinicians find the crab louse on one family member they often request to examine other members of the family for similar symptoms of infestation. If a clinician suspects the presence of the louse, they may be able to identify the nits or eggs under magnification.
caption: Crab louse egg on human body hair
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