Kozer E, Lahat E, Berkovitch M
Department of Pediatric Emergency Medicine, Assaf Harofeh Medical Center, Zerifin, Israel.
Toxicon. 1999 Dec;37(12):1797-801. doi: 10.1016/s0041-0101(99)00121-x.
The pine caterpillar Thaumatopoea wilkinsoni is found in pine woods all over Israel. Contact with its hair usually results in local reactions. Systemic reactions after contact with caterpillar hairs are known in other caterpillar species, but have been described only once after contact with T. wilkinsoni. We describe a group of adolescents who were exposed to T. wilkinsoni while camping in a pine wood. Three of them were referred to an emergency department. They had severe pruritus, pain and edema at the contact sites, with papular and urticarial rashes. Two of the patients had abdominal pain and one patient had hypertension for several hours. The hypertension resolved spontaneously.
Skin eruptions are the most common manifestations of T. wilkinsoni contact, however, although systemic manifestations are rare, abdominal pain and hypertension may occur.
威尔金森松毛虫（Thaumatopoea wilkinsoni）遍布以色列的 pine woods。接触其毛发通常会导致局部反应。其他毛虫种类接触毛虫毛发后会出现全身反应，但接触威尔金森松毛虫后仅被描述过一次。我们描述了一组在 pine wood 露营时接触到威尔金森松毛虫的青少年。其中三人被送往急诊科。他们在接触部位有严重瘙痒、疼痛和水肿，伴有丘疹和荨麻疹样皮疹。两名患者有腹痛，一名患者有数小时的高血压。高血压自行缓解。
皮肤疹是接触威尔金森松毛虫最常见的表现，然而，尽管全身表现罕见，但可能会出现腹痛和高血压。
