Scabies and Pubic Lice

Scabies and pubic lice are caused by tiny mites or lice. In scabies the mites can occur in any part of the body, but are often seen under the skin in creases such as under the arms, underneath the buttocks, on the hands and wrists, or on the genitals.

Pubic lice live in coarse body hair such as pubic hair, chest and underarm hair. They sometimes live in eyebrows or eyelashes but not on head hair.

Scabies is passed on through close physical skin contact. It can also be sexually transmitted, but this is less common.

Pubic lice are usually passed on through sexual contact. They can also be passed on through close physical contact.
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 Signs and symptoms

• Scabies causes an itchy rash in the body's skin creases, which may also be accompanied by tiny spots
• Pubic lice causes itchy skin and black powder appears in the underwear caused by mite droppings. White eggs can be found on affected hair.

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 Tests and treatment

• For both scabies and pubic lice, the skin will be examined and a skin flake may be taken to test for mites or lice.
• Scabies and pubic lice are easily treated with a special lotion or shampoo. These kill the mites or lice and their eggs. To avoid re-infection, close contacts or sexual partners should also be treated.
• Neither scabies or pubic lice cause any long term health problems.

 For STI testing contact the Sexual Medicine Service on 01803 656500.