Which symptom is NOT typically associated with pediculosis capitis?

• A. Sensation of movement on scalp
• B. Intense scalp itching
• C. Visible white nits near scalp
• D. Severe hair loss in patches

Answer: (D)

Pediculosis capitis causes itching from the scalp’s reaction to lice saliva, and many people feel a crawling or moving sensation when lice are present. Eggs, or nits, are typically visible as white specks glued to hair shafts close to the scalp, especially around the nape and behind the ears. These signs—itching, a creeping sensation, and visible nits—are common indicators of a head lice infestation. Severe hair loss in patches, on the other hand, isn’t a typical sign of lice. If you see patchy hair loss, it’s more likely due to other conditions such as fungal infections (tinea capitis) or certain forms of hair loss like alopecia, so those possibilities should be explored alongside checking for lice.