Müller Cornelia S L, Tilgen Wolfgang, Pföhler Claudia
Department of Dermatology, The Saarland University Hospital, Homburg, Germany.
BMJ Case Rep. 2011 Apr 19;2011:bcr0320113967. doi: 10.1136/bcr.03.2011.3967.
Caterpillar dermatitis (lepidopterism) is a disease that is caused by butterflies, moths and their caterpillars. Clinical signs and symptoms vary from itchy skin lesions to conjunctivitis, pharyngitis, malaise and anaphylactic reactions. We present the case of two brothers with typical skin lesions of leptidopterism. The older boy showed skin lesions after playing with caterpillars in the garden, whereas his younger brother was affected without direct contact to the caterpillars but only by playing with his brother. As the mother could show two caterpillars, lepidopterism could easily be diagnosed. Under a local therapy with a medium potent corticosteroid cream and a non-sedating orally administered antihistamine, all skin lesions as well as itching disappeared within 1 week.
毛虫皮炎（鳞翅目幼虫所致皮炎）是一种由蝴蝶、蛾子及其幼虫引起的疾病。临床体征和症状从皮肤瘙痒性病变到结膜炎、咽炎、不适及过敏反应不等。我们报告两兄弟患典型鳞翅目幼虫所致皮炎的病例。年长男孩在花园与毛虫玩耍后出现皮肤病变，而他的弟弟虽未直接接触毛虫，仅通过与哥哥玩耍而患病。由于母亲能找到两条毛虫，鳞翅目幼虫所致皮炎很容易诊断。在局部使用中效皮质类固醇乳膏及口服非镇静性抗组胺药治疗后，所有皮肤病变及瘙痒在1周内消失。
