Vasudevan B, Joshi D C
Graded Specialist (Dermatology), MH Shillong-793001.
Project Officer, Command Hospital (SC), Pune-40.
Med J Armed Forces India. 2010 Apr;66(2):121-4. doi: 10.1016/S0377-1237(10)80122-4. Epub 2011 Jul 21.
Contact dermatitis to Staphylinid beetle is a well known entity worldwide. Paederus sabaeus (Econda) species of this insect was responsible for a widespread occurrence of this dermatitis in United Nations (UN) troops posted in Congo. This study was undertaken to observe the various aspects of this unique dermatitis in the mission area.
All clinically diagnosed cases of contact dermatitis to Econda occurring in Indian troops posted to UN mission in Congo during the study period were included. Their epidemiological and clinical characteristics with treatment options were studied in detail.
A wide range of dermatological manifestations were seen in the subjects under study. Few of the manifestations observed in the study have not been reported earlier in literature. Most of the reactions occurred on the exposed areas. Treatment options were guided by the site and the severity of the reaction.
Contact dermatitis to Staphylinid beetle can mimic various other dermatoses and has to be considered in the differential diagnosis in all dermatological consultations during the peak season in the Congo mission area. The insect was found to have certain definite behavioural patterns, the knowledge of which would help in preventing this dermatosis.
全世界范围内，对隐翅虫的接触性皮炎是一种广为人知的病症。这种昆虫的梭毒隐翅虫（Econda）种类，导致了驻扎在刚果的联合国（UN）部队中这种皮炎的广泛发生。本研究旨在观察任务地区这种独特皮炎的各个方面。
纳入了研究期间在派驻刚果联合国特派团的印度部队中临床诊断为对Econda接触性皮炎的所有病例。详细研究了它们的流行病学和临床特征以及治疗方案。
在研究对象中观察到了广泛的皮肤表现。该研究中观察到的一些表现此前在文献中未曾报道过。大多数反应发生在暴露部位。治疗方案根据反应部位和严重程度而定。
对隐翅虫的接触性皮炎可能类似于其他各种皮肤病，在刚果任务地区的旺季，所有皮肤科会诊的鉴别诊断中都必须考虑到这一点。发现这种昆虫有某些明确的行为模式，了解这些知识将有助于预防这种皮肤病。
