The epidemiology, diagnosis, management, and prevention of ectoparasitic diseases in travelers.

Ectoparasitic diseases have been reported in travelers returning from both developed and developing nations.(1-3) Ectoparasitic diseases afflict the skin and its appendages and orifices, especially the scalp, facial, and pubic hairs; external ears; nares; orbits and eyelids; and genitourinary and rectal orifices. Like endoparasites, ectoparasites may be either obligatory parasites, which need to feed on human hosts to complete their life cycles, or facultative parasites, which prefer to feed on nonhuman hosts and infest humans only as accidental or dead-end hosts.(4,5).