Zargari Omid, Kimyai-Asadi Arash, Fathalikhani Fateme, Panahi Mehdi
Guilan Research Center for Skin Diseases, Rasht, Iran.
Int J Dermatol. 2003 Aug;42(8):608-12. doi: 10.1046/j.1365-4362.2003.01771.x.
Paederus dermatitis develops when beetles of the genus Paederus (often called rove beetles) are crushed on the skin, releasing the vesicant pederin. These beetles are found in many tropical and subtropical habitats.
We describe 156 patients who presented to a dermatology clinic in the Guilan province of northern Iran during a 6-month period (May-October 2001).
The peak time of presentation was in September, and the face and neck were the most common sites of involvement. Clinically, the most common presentation comprised geographic erythematous plaques with micropustules. In three-quarters of patients, more than one lesion was present. Kissing lesions were seen in 5% of cases, and 15% of patients developed diffuse desquamation. The majority of patients resided within 1 km of rice fields and used fluorescent lighting at home. In half of the cases, another family member was also affected.
Paederus dermatitis is a common skin condition in northern Iran. We believe that increased public awareness of this condition can decrease mucocutaneous exposure to pederin.
当球螋属甲虫（通常称为隐翅虫）在皮肤上被碾碎，释放出刺激性物质隐翅虫素时，就会引发隐翅虫皮炎。这些甲虫在许多热带和亚热带栖息地都能找到。
我们描述了在6个月期间（2001年5月至10月）前往伊朗北部吉兰省一家皮肤科诊所就诊的156例患者。
就诊的高峰时间是9月，面部和颈部是最常受累的部位。临床上，最常见的表现为带有微脓疱的地图状红斑斑块。四分之三的患者有不止一处皮损。5%的病例出现了“接吻性皮损”，15%的患者出现弥漫性脱屑。大多数患者居住在距稻田1公里范围内，且家中使用荧光灯。半数病例中，另一名家庭成员也受到了影响。
隐翅虫皮炎在伊朗北部是一种常见的皮肤疾病。我们认为提高公众对这种疾病的认识可以减少皮肤黏膜接触隐翅虫素的机会。
