Handa F, Sharma Pradeep, Gupta Sudarshan
Indian J Dermatol Venereol Leprol. 1985 Jul-Aug;51(4):208-212.
A peculiar erythemato-vesicular dermatitis caused by a beetle, seen in 77 cases is analysed. The age range was 2.5 years to 57 years. Urban to rural ratio was 3.52:1. The common sites of involvement were the exposed sites, mainly the face. Burning sensation was the commonest symptom. Lesions were tender and mainly linear. The presence of kissing lesions was suggestive of the genus Paederus as the cause. A typical seasonal variation with maximum numbers in July was noted. The causative beetle could not be found out because none of the patients saw it. All cases responded well to antihistamine corticosteroid combination systemically and antibiotic-corticosteroid combination locally.
分析了77例由一种甲虫引起的特殊红斑水疱性皮炎。年龄范围为2.5岁至57岁。城乡比例为3.52:1。常见受累部位为暴露部位，主要是面部。灼痛是最常见的症状。皮损压痛，主要呈线状。“亲吻性皮损”的存在提示病因是隐翅虫属。观察到典型的季节性变化，7月病例数最多。由于没有患者看到致病甲虫，所以未能查明。所有病例经全身应用抗组胺药与皮质类固醇联合治疗以及局部应用抗生素与皮质类固醇联合治疗后反应良好。
