Dursteler Brian B, Nyquist Robert A
Emergency Services, 56 MDG, Luke AFB Hospital, 7219 North Litchfield Road, Luke Air Force Base, AZ 85309-1513, USA.
Mil Med. 2004 Jan;169(1):57-60. doi: 10.7205/milmed.169.1.57.
Deployed military personnel are often faced with a variety of exposures unfamiliar to U.S. physicians. This is the first report to describe an outbreak of a pustular disease among U.S. personnel deployed to Pakistan in support of Operation Enduring Freedom. Up to 10% of the base population was afflicted with a pustular eruption and an accompanying halo of erythema. A retrospective chart review and ongoing patient care resulted in 191 cases. Various therapies were used, including "watchful waiting." Gradual resolution occurred with residual area(s) of hypo- or hyperpigmentation. An irritant contact dermatitis was suspected based upon clinical presentation; staphylinid (rove) beetles were implicated. Rove beetle dermatitis from a pederin toxin has occurred in other parts of the world but has not been previously reported in Pakistan. We discuss the nature and progression of the dermatitis, treatments, outcomes, measures to control exposures, and the implications of such outbreaks.
部署的军事人员经常面临美国医生不熟悉的各种暴露情况。这是第一份描述在部署到巴基斯坦以支持持久自由行动的美国人员中爆发脓疱病的报告。基地多达10%的人口患上了脓疱疹，并伴有红斑晕。通过回顾性病历审查和持续的患者护理，共确诊191例。使用了各种治疗方法，包括“观察等待”。病情逐渐缓解，遗留色素减退或色素沉着区域。根据临床表现怀疑为刺激性接触性皮炎；隐翅虫（rove beetles）被认为是病因。来自倍半萜烯毒素的隐翅虫性皮炎在世界其他地区有发生，但此前在巴基斯坦尚未有报道。我们讨论了皮炎的性质和病程、治疗方法、结果、控制暴露的措施以及此类疫情的影响。
