Horster S, Prinz J C, Holm N, Wollenberg A
Klinik und Poliklinik für Dermatologie und Allergologie, Klinikum der Universität-Innenstadt, Frauenlobstrasse 9-11, 80337 München.
Hautarzt. 2002 May;53(5):328-31. doi: 10.1007/s001050100257.
A 31-year-old male presented with widespread itchy papules, especially on the legs, which had appeared 4 weeks previously. He reported that his wife and both daughters had developed similar lesions during the last week. Numerous small beetle larvae had been detected in his apartment, which were identified as museum beetle Anthrenus museorum L. Prick test with a larva extract caused a positive prick-test reaction, followed by a papular delayed type hypersensitivity reaction. History, clinical and histological examination led to the diagnosis of papular Anthrenus-dermatitis. Eradication of the beetle larvae from the patient's apartment, followed by topical glucocorticoid therapy led to a permanent remission of the dermatitis in all household members.
一名31岁男性出现广泛的瘙痒性丘疹,尤其是在腿部,这些丘疹在4周前出现。他报告称,他的妻子和两个女儿在过去一周也出现了类似皮疹。在他的公寓中检测到大量小甲虫幼虫,经鉴定为标本虫(Anthrenus museorum L.)。用幼虫提取物进行点刺试验引发了阳性点刺试验反应,随后出现丘疹性迟发型超敏反应。结合病史、临床和组织学检查,诊断为丘疹性标本虫皮炎。清除患者公寓中的甲虫幼虫,随后进行局部糖皮质激素治疗,使所有家庭成员的皮炎症状得到永久性缓解。