Pubic lice cause moderate to severe itching, which is typically worse at night. Close inspection of pubic hair reveals small white or yellow oval dots, usually fixed near the base of the hair shaft. These are nits, the eggs of the lice.
Because the itching leads to scratching, most people have scratch marks, called excoriations, around the pubic region. Sometimes the bites will cause a bluish-gray reaction in the skin.
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