Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania.
J Am Acad Dermatol. 2010 Jan;62(1):13-28. doi: 10.1016/j.jaad.2009.08.061.
Caterpillars and moths (order Lepidoptera) are uncommonly recognized causes of adverse cutaneous reactions, such as localized stings, papular dermatitis, and urticarial wheals. These reactions are typically mild and self-limited; however, in South America, the sting of Lonomia caterpillars can cause a potentially fatal hemorrhagic diathesis related to massive fibrinolysis. In addition, ocular inflammation and prominent arthralgias have been reported to be caused by caterpillar exposures. Therapies for mucocutaneous reactions to Lepidoptera are largely empiric, with the exception of antivenin against Lonomia obliqua envenomation. Part II of this two-part series on caterpillars and moths reviews the varied symptoms caused by Lepidopteran exposures, reviews the differential diagnosis, and discusses appropriate treatment algorithms.
毛毛虫和蛾类（鳞翅目）是引起不良皮肤反应的罕见原因，如局部刺伤、丘疹性皮炎和荨麻疹性风团。这些反应通常是轻度和自限性的；然而，在南美洲，美洲钩翅野蚕毛毛虫的刺可引起与大量纤维蛋白溶解相关的潜在致命性出血性素质。此外，据报道，毛毛虫暴露还会引起眼部炎症和明显的关节痛。除了针对 Lonomia obliqua 中毒的抗蛇毒血清外，鳞翅目动物引起的粘膜皮肤反应的治疗方法主要是经验性的。本关于毛毛虫和蛾类的两部分系列的第二部分回顾了鳞翅目动物暴露引起的各种症状，回顾了鉴别诊断，并讨论了适当的治疗算法。
