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1 Head Lice Bites: Itchy, Red Bumps Lice bites appear as little red bumps on the scalp, head, and shoulders, and cause the skin to become inflamed and intensely itchy. 2  If you scratch your lice bites, it may cause them to become infected.
Head lice may not cause any symptoms at first. Itching on the scalp may start weeks or even months after lice have started to spread. Scratching can make the skin raw. The raw skin may ooze clear fluid or crust over, and it may get infected. Pubic lice cause severe itching.