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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.
With lice bites come itching and scratching. This is actually due to a reaction to the saliva of lice. However, the itching may not always start right away â that depends on how sensitive a child's skin is to the lice. It can sometimes take weeks for kids with lice to start scratching.