Phthiriasis palpebrarum: a common culprit with uncommon presentation.

Since infestation of the eyelashes by pubic lice is relatively uncommon, it might well be misdiagnosed as bacterial conjunctivitis, allergic contact dermatitis, or seborrheic and rosacea blepharitis. We present and graphically illustrate a case of blepharoconjunctivits attributed to P. Pubis infestation and offer further support for the use of the ophthalmologic agent 4 percent pilocarpine gel as a primary or adjunctive treatment modality.