Méndez E, Sáenz R E, Johnson C M
Rev Med Panama. 1989 Sep;14(3):139-44.
This paper is the first published report of vesicular dermatitis due to blister beetles of the family Meloidae in Panamá. A familial outbreak of bullous dermatitis caused by Epicauta flagellaria (Erichson) is described. All previous cases known in the Gorgas Memorial Laboratory were associated with E. isthmica Werner. Bullous lesions are produced when cantharidin, a vesicating toxin contained in the beetle's body, is released at the time the insect is crushed or rubbed upon the exposed skin. Rules for the treatment and prevention of this disease are indicated.
本文是关于巴拿马地区芫菁科水疱甲虫所致水疱性皮炎的首篇发表报告。文中描述了由鞭角芫菁（Erichson）引起的家族性大疱性皮炎暴发。戈尔加斯纪念实验室此前所知的所有病例均与地峡芫菁（Werner）有关。当甲虫体内含有的一种起水疱作用的毒素——斑蝥素，在昆虫被碾碎或在暴露皮肤上摩擦时释放出来，就会产生大疱性损害。文中还指出了该病的治疗和预防规则。
