Presentation
We present two case reports to illustrate its clinical and histopathologic features. Both cases occurred during the spring of 1990 and coincided with the greatest infestation of L. dispar in the Northeast to date. [ncbi.nlm.nih.gov]
In patients presenting with skin reactions and dermatitis of unknown cause, particularly recurrent rash, a careful history of location and seasonality is required. [mafiadoc.com]
Presents outstanding photographs for virtually every common skin disorder. [books.google.com]
Gastrointestinal
- Nausea
Lepidopterism is a systemic illness that occurs following such contact, and it is typified by diffuse urticaria, upper airway inflammation, nausea, vomiting, headache, and bronchospasm. [emedicine.medscape.com]
Fever, nausea, vomiting, diarrhea, and chills were seldom reported. The rash was generally located on exposed areas of the body--75.4% on arms, 22.8% on the neck, and 21.1% on legs. [cdc.gov]
The sting transmits venom which causes burning pain, headache, nausea, or vomiting. Over the next few days widespread bleeding occurs into the skin, mucous membranes, lungs, brain, or kidneys. This can be fatal, but antivenom is available. [dermnetnz.org]
Common symptoms include: [8] Itchiness and contact dermatitis, blisters, weals (welts), small red bumps, pain Acute conjunctivitis, if hairs penetrate the eyes Rash and hives Difficulty breathing Nausea and vomiting Bleeding and renal failure can occur [wikihow.com]
In Trinidad and Tobago, the hairy moth (Hylesia metabus) is considered a major public health problem, causing severe dermatitis as well as allergic reactions, breathing problems, fever, headache, nausea and conjunctivitis. [fao.org]
Skin
- Skin Rash
(1 inch) Many hairy caterpillars can cause rashes or dermatitis when they come in close contact with the skin. Symptoms range from mild irritation to an intensely itching rash with reddened, inflamed skin. [statebystategardening.com]
Contrary to the popular belief that caterpillar dermatitis can only be caused by caterpillars crawling on bare skin, Wang said that as long as human skin comes into contact with the bristles of a caterpillar, it could cause rashes. [taipeitimes.com]
If these hairs and toxins come into contact with the skin they can cause symptoms. What sort of symptoms do they cause? If the hairs or toxins come into contact with the skin they can cause a very itchy skin rash. [nhs.uk]
The yellowish caterpillars that have black spots and are covered in hairs have been spotted mainly in the northern and central region of the archipelago’s main island of Mahé with people developing skin rash after coming in contact with the stinging hairs [seychellesnewsagency.com]
If the exposure involves just a rash, then calling a poison control center at 800-222-1222 is a great option for obtaining advice on how to treat the skin reaction at home or determining whether it's necessary to see a doctor, he said. [livescience.com]
- Eczema
Note In this block the terms dermatitis and eczema are used synonymously and interchangeably. [icd10data.com]
WebMD explains the different types of eczema, including symptoms, causes, and treatments. Moved Permanently. The document has moved. [umeqijyzanaxi.xpg.uol.com.br]
Atopic dermatitis, or eczema, causes the skin to itch, scale, swell, and sometimes blister. This type of eczema usually runs in families and is often associated with allergies, asthma, and stress. [webmd.com]
In some cases, contact urticaria can be demonstrated only on damaged or previously eczematous skin, and it can be part of the mechanism responsible for maintenance of chronic eczemas Pagina 416 - Loveless SE, Ladies GS, Gerberick GF, et al. (1996) Further [books.google.ro]
Reactions range from mildly itchy, papular urticaria (small red bumps and swelling) that resolves within an hour; to moderately itchy, urticarial, scaly, blistering, or widespread eczema -like reactions that can persist for weeks. [dermnetnz.org]
- Pruritic Rash
Caterpillar dermatitis should therefore be taken into consideration in the differential diagnosis of a pruritic rash in infants from regions with caterpillar-infested trees, especially during the larval development of T. processionea . [ncbi.nlm.nih.gov]
School A had an enrollment of 320 students, with 135 affected by rashes (an attack rate of 42.2%). School B had 76 out of 300 students affected (an attack rate of 25.3%). The symptoms included pruritic rash and occasional urticaria. [cdc.gov]
- Excoriation
Morphologically, it is strophulus-like and consists of papulous, excoriated, and pinkish lesions on an oedematous base. Diagnosis is usually straightforward. [ncbi.nlm.nih.gov]
- Chronic Dermatitis
Dermatitis herpetiformis (DH), or Duhring's disease, is a chronic blistering skin condition, characterised by blisters filled with a watery fluid. Despite. [umeqijyzanaxi.xpg.uol.com.br]
Neurologic
- Headache
Lepidopterism is a systemic illness that occurs following such contact, and it is typified by diffuse urticaria, upper airway inflammation, nausea, vomiting, headache, and bronchospasm. [emedicine.medscape.com]
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]
Severe pain occurs in all patients, and 1 in 3 develop systemic reactions such as headache, muscle spasms, breathing difficulty, and convulsions. Papular urticaria and dermatitis Usually caused by hairs from caterpillars or moths. [dermnetnz.org]
EYES Pain Redness Increased tears STOMACH AND INTESTINES Drooling Mouth and throat irritation Vomiting, if caterpillar or caterpillar hairs are eaten NERVOUS SYSTEM Headache RESPIRATORY SYSTEM Cough Inflamed membranes in the nose Shortness of breath Wheezing [medlineplus.gov]
WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms Headache, Pain or discomfort, Skin rash and Sore throat. [umeqijyzanaxi.xpg.uol.com.br]
Treatment
After 1 day of treatment, skin lesions decreased and pruritus disappeared. A near complete disappearance of erithematous plaques was observed at 2 days of treatment ( figure 1B ). [casereports.bmj.com]
Rash improved with symptomatic treatment for 5 days. includes insect bite, contact dermatitis, atopic dermatitis, impetigo and erysipelas. Outbreak of rash caused by caterpillar has been reported in children. [mafiadoc.com]
Treatment of affected skin by itchy caterpillars includes the removal of all affected clothing. Apply a piece of adhesive tape to the affected areas and pull the tape off immediately. [nt.gov.au]
Treatment involves removing the hairs or spines from the skin, then treating the symptoms. To treat a caterpillar exposure: If the caterpillar is on the skin, remove it without using your hands! [poison.org]
In Colombia, treatment LAV has been successful, although the efficacy of this antivenom for Colombian Lonomia species and treatment protocols have not been yet established [ 21, 22 ]. [journals.plos.org]
Prognosis
Pagina 15 - Hogan DJ, Dannaker CJ, Maibach HI (1990) The prognosis of contact dermatitis. [books.google.ro]
Etiology
[…] proximal) phalanges of one or more fingers Frequent attacks affecting all phalanges of most fingers Pagina 97 - Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M, Hidano A (1991) Decreased levels of ceramides in stratum corneum of atopic dermatitis: an etiologic [books.google.ro]
Tongue lesions of unclear etiology may require biopsy or referral to an oral Common Tongue Conditions in Primary Care seborrheic dermatitis. [umeqijyzanaxi.xpg.uol.com.br]
Epidemiology
The municipality should submit the documentation to Infectious Disease Epidemiology, Division of Disease Surveillance, Maine CDC by mail, fax, or e-mail a. Mailing Address: 11 State House Station, 286 Water Street, Augusta ME, 04333-0011 b. [maine.gov]
The evolving global epidemiology, syndromic classification, management, and prevention of caterpillar envenoming. Am J Trop Med Hyg. 2005;72(3):347–357. 3. Bessin R. Stinging caterpillars. http://www.ca.uky.edu/entomology/entfacts/ef003.asp. [aafp.org]
The evolving global epidemiology, syndromic classification, management, and prevention of caterpillar envenoming. American Journal of Tropical Medicine and Hygiene, 72(3): 347–357. Evans, R.E. & Summers, R.J. 1986. [fao.org]
CONTINUING MEDICAL EDUCATION Accidents caused by lepidopterans (moth larvae and adult): study on the epidemiological, clinical and therapeutic aspects * Alberto Eduardo Cox Cardoso I ; Vidal Haddad Junior II I Adjunct Professor IV of Centro de Ciências [scielo.br]
Journal of Epidemiology and Community Health 35: 1-4. Dunlop K, Freeman S. 1997. Caterpillar dermatitis. Australasian Journal of Dermatology 38: 193-195. Dyar HG, Morton EL. 1896. The life-histories of the New York slug caterpillars II. [entnemdept.ufl.edu]
Pathophysiology
The pathophysiology of envenomation by Lomomia is still not completely clear. [scielo.br]
Prevention
Although only a slight rash occurs after contact with the gold tail caterpillar extreme itching can prevent a person sleeping. [waldwissen.net]
Identification of the caterpillar or moth with pictures or taxonomic keys is essential in the prevention and control of stinging and itchy caterpillar infestations. [nt.gov.au]
Instead, remove them with tape in order to remove the spines from the affected area and prevent further agitation on fingertips. The trees at Borden Colony Athletic Complex got it even worse than the skin of local residents. [enterprisenews.com]
If the person has blood flow problems, decrease the time ice is used to prevent possible damage to the skin. After several ice treatments, apply a paste of baking soda and water to the area. [medlineplus.gov]
Avoiding gypsy moth caterpillars is the best way to prevent the rash, but sometimes people don’t even recall being in contact with one. “Being outside in the warm weather, it’s hard to avoid the gypsy moths,” said Backus Hospital’s Dr. [backushospital.org]