Veraldi Stefano, Cuka Ermira, Gaiani Francesca
Department of Pathophysiology and Transplantation, University of Milan, Cà Granda Ospedale Maggiore Policlinico, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) (Italian Research Hospital Foundation), Milan, Italy.
Int J Dermatol. 2014 Jul;53(7):869-72. doi: 10.1111/ijd.12434. Epub 2014 Feb 14.
Centipedes are arthropods belonging to the class Chilopoda. Approximately 3000 species have been described. Centipedes are found more commonly in tropical and subtropical countries. Centipedes possess venomous fangs. The Scolopendra represent the best-known genus of centipede.
We describe two cases of severe skin reactions caused by Scolopendra subspinipes bites.
Both patients were bitten on the hand. The clinical picture was characterized by severe erythematous edema. In addition, one patient presented with a blister. Both patients complained of severe pain. Laboratory examinations showed leukocytosis and an increase in erythrocyte sedimentation rate (ESR). Complete remission was achieved within two weeks by means of paracetamol and oral prednisone.
Western dermatologists should be aware of the possibility of severe skin reactions caused by centipede bites.
蜈蚣是属于唇足纲的节肢动物。已描述的种类约有3000种。蜈蚣在热带和亚热带国家更为常见。蜈蚣有毒牙。蚰蜒是最著名的蜈蚣属。
我们描述了两例由少棘蜈蚣叮咬引起的严重皮肤反应病例。
两名患者均手部被咬伤。临床表现为严重的红斑性水肿。此外，一名患者出现水疱。两名患者均主诉剧痛。实验室检查显示白细胞增多和红细胞沉降率（ESR）升高。通过对乙酰氨基酚和口服泼尼松，两周内实现了完全缓解。
西方皮肤科医生应意识到蜈蚣叮咬引起严重皮肤反应的可能性。
