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Abstract Both a 38-year-old white woman and her only child, a 12-year-old daughter, simultaneously developed pruritus of the scalp accompanied by what they thought to be nits on the hair shafts. These adherent concretions made combing the hair difficult and imparted a rasping sound in the feel of the comb as it was passed through the hair. Showers of small, black particles fell from the scalp to the neck and shoulders. These particles caused pricking sensations and annoying itching. This condition was first manifested during a short trip from their home in western New York to Tennessee; it was felt by the patients that they had acquired head lice in some motel. On returning home, they consulted their local physician, who at first concurred in the opinion that the nodular concretions were the nits of pediculosis capitis; unsuccessful attempts were made to "delouse" the patients with pediculosides. This treatment having failed,
A.M.A. Archives of Dermatology – American Medical Association
Published: Apr 1, 1956
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