Tiktoker Isa Paoli was one of the Justin Bieber fans who managed to see the singer’s performance at Rock in Rio up close. To stay on the grid, there were even those who used geriatric nappies in an attempt to dribble the urge to go to the bathroom. Paoli, meanwhile, said she caught head lice on the Canadian star’s show.

In one video, she appears next to the stage and at another time inside a beauty salon, where she was followed by a professional removing lice from her hair – see the report below -below.

“Before, I was very bad, I relive a nightmare. The neck is where there is the most, I know all the tricks. I kill the believer ugly, the humiliation has no end. Take the fine-toothed comb, pour some vinegar on this head, please,” he said.

Transmission occurs through personal contact (head to head) with a person with lice, and also through indirect contact with objects of their use such as comb, brush, scarves, caps, tiara, among others .

Do lice give signs other than itching?

For some people, the manifestation may show no signs (they are asymptomatic). However, itching is common for up to 6 weeks for people who have never had lice before and within 2 days for those who do. It is also common to have:

• Local skin lesion (excoriation) and scabs on the back of the neck and behind the ear;
• Secondary bacterial infection;
• Sensation that something is moving in the head.

When to seek medical help?

Dermatologist Carolina Contim Proença, consultant in the Pediatric Dermatology Department of the SBD (Brazilian Society of Dermatology), says* that although the condition is common and there is a pharmaceutical solution that does not require a prescription, it is important to speak with a doctor so they can assess general conditions and guide therapy, especially in children.

“Once a louse is found in a family member, all members should be examined. Also, if there is a secondary bacterial infection, antibiotics may be needed,” adds Proença. The specialists indicated for this consultation are the pediatrician or the dermatologist.

How is the diagnosis made?

At the time of the appointment, the doctor will listen to the patient’s complaint, take their medical history and perform the physical examination, paying particular attention to the scalp.

Since additional tests are not required, and the diagnosis is based on these data, it is called clinical.

How’s the treatment going ?

Its objective is to eliminate the infestation, which is done through antiparasitic agents used topically (lotions or shampoos).

The patient will also be instructed to manually remove the nits with a fine comb, daily, until they are completely removed.

“Therapeutics has evolved in recent years and we already have oral (systemic) treatment, which is done with ivermectin. It is generally indicated when topical measures have not been sufficient. The dosages must be personalized, this strategy must always be guided by the doctor”, explains* dermatologist Ana Lúcia França da Costa, professor at the UFPI.

*With information from a report published on 05/17/22.

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