|
|
|
JACI Highlights - June 2006
Scarupa et al – Bedbug bites masquerading as urticaria
In the June 2006 issue of the Journal of Allergy and Clinical Immunology, Scarupa and Economides summarize the typical clinical presentation of bedbug bites as well as potential treatments and possible complications. The bite of the common bedbug resembles urticaria, also known as hives. Although bedbug infestations have not been common in the United States, recent infestations have been reported by both the popular press and in medical literature. In the past seven months, the authors have identified 17 patients with a hive-like skin rash that was actually caused by bedbug bites. Bedbug lesions in most patients are poorly responsive to even high doses of oral steroids and are unaffected by antihistamines. Both treatments are regularly prescribed for hives. There is no treatment for bedbugs other than elimination by extermination. Sleeping in long-sleeved shirts and pants may decrease the surface area affected. As the phenomenon is increasing, bedbug bites need to be considered as part of the differential diagnosis particularly in patients that have hive-like lesions poorly responding to conventional therapies.
<back>
|
