The bite is visible as a minute red macule which irritates,greatly.
The linear scratch marks which patients with pediculosis corporis make on their
shoulders with their nails are very characteristic and almost enough for a
diagnosis. Pediculosis corporis is quite common in elderly people living in
hostels or under crowded conditions, and scratch marks on the shoulders in such
patients should always lead to a careful search for parasites or ova on the
underclothes. Pediculosis corporis, and the scratching to which it gives rise,
cause after a time thickening and pigmentation of the skin, the so-called
Vagabond's Disease.
Treatment
A hot bath followed
by thorough powdering of the
underclothing with a l0% D.D.T. powder will rid the patient of lice. The
impregnation of underclothing with l-2% by weight of D.D.T. will keep the
wearer free from body lice though not from crab lice, for about one month in
spite of weekly laundering. A powder consisting of l0% of D.D.T. in an inert
diluent proved invaluable in the army and in controlling louse infestation in
civil populations during the late war, in the Naples typhus epidemic in 1944. The powder is
blown into the clothes with a blower at five sites without undressing the
patient.
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