Department of Dermatology, Royal Brisbane and Women's Hospital, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Australas J Dermatol. 2013 May;54(2):136-8. doi: 10.1111/j.1440-0960.2011.00866.x. Epub 2012 Feb 20.
A 26-year-old Australian female traveller in Sierra Leone presented with an irritant bullous contact dermatitis consistent with paederus dermatitis. The lesions were treated with a potent topical corticosteroid with good effect. The affected area resolved in 6 weeks and hyperpigmention persisted for months until complete resolution. This dermatitis occurs when beetles of the genus Paederus (rove beetles) are crushed on the skin, releasing pederin. The same dermatitis ensues with Australian Paederus species. Serial clinical photographs are presented which will aid Australian dermatologists in the diagnosis of this dermatitis, which presents in regional Australian patients and returned overseas travellers.
一位 26 岁的澳大利亚女性旅行者在塞拉利昂出现刺激性大疱性接触性皮炎，符合阴虱性皮炎。病变用强效外用皮质类固醇治疗，效果良好。受累区域在 6 周内痊愈，色素沉着持续数月，直至完全消退。当阴虱属（步甲科）甲虫在皮肤上被压碎时，会释放出斑蝥素，从而引起这种皮炎。同样的皮炎也会出现在澳大利亚的斑蝥属物种中。本文呈现了一系列临床照片，将有助于澳大利亚皮肤科医生诊断这种皮炎，这种皮炎会出现在澳大利亚当地患者和归国旅行者中。
