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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.
Itching, the most common symptom of all types of lice infestation, is caused by an allergic reaction. Lice bite the skin to feed on a person's blood. The saliva from these bites causes the allergic reaction and itching.