The answer depends on what you're observing. Dandruff appears as white or yellow flakes of dry skin, while lice eggs (nits) look like tiny, teardrop-shaped yellow or white eggs. Adult lice are darker and about the size of a sesame seed.
Key Differences Between Lice and Dandruff
Here's a breakdown to help you differentiate between lice and dandruff:
Feature | Dandruff | Lice |
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Appearance | White or yellow flakes of dry skin | Tiny, teardrop-shaped yellow/white eggs (nits); Dark, sesame seed-sized adult lice |
Location | Scalp, may fall onto shoulders | Attached to hair shafts, close to the scalp |
Movement | Flakes easily brushed away | Nits are firmly attached; lice can move |
Itchiness | May be itchy, but not always intense | Usually intensely itchy |
How to Distinguish: A Closer Look
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Appearance and Location: Dandruff flakes are loose and easily fall off the scalp and onto the shoulders. Lice nits, on the other hand, are firmly glued to the hair shaft, typically close to the scalp, especially behind the ears and at the nape of the neck.
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Movement and Removal: You can easily brush off dandruff flakes. Nits are very difficult to remove and require special nit combs or manual removal. Adult lice are mobile and can be seen moving on the scalp, although they are small and can be difficult to spot.
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Itchiness: While both conditions can cause itchiness, lice infestations are typically associated with intense itching.
Treatment
Both dandruff and lice can usually be treated at home. Dandruff often responds well to over-the-counter medicated shampoos. Lice require specialized shampoos or lotions designed to kill the lice and nits, followed by meticulous nit removal.