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Cutaneous lepidopterism: dermatitis from contact with moths of Hylesia metabus (Cramer 1775) (Lepidoptera: Saturniidae), the causative agent of caripito itch.
MedLine Citation:
PMID:  21506967     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background  Lepidopterism derived from contact with arthropods and/or their products can result in adverse reactions that vary in severity from mild irritation to severe reactions including anaphylactic shock and death. Lepidopterism includes cutaneous and/or mucosal manifestations, systemic symptoms, or both mucocutaneous and systemic manifestations. Objective  Epidemic outbreaks of dermatitis due to Hylesia sp. have been recorded in several countries of Latin America. The impact of climatic changes occurring presently on migrational and reproductive cycles of Hylesia metabus is also discussed in this study. Materials and methods  In Venezuela, swarms of migrating H. metabus moths are historically recognized as the causative agents of "Caripito itch," a disease that has become an important public health problem. Results:  In this review, we present a series of four case reports reflecting the wide clinical pleomorphism exhibited in lepidopterism by H. metabus. Conclusion  Although dermatitis caused by these moths is usually resistant to all therapeutic treatment, individualization of therapy based on symptoms led to successful treatment in all four cases.
Authors:
Alberto E Paniz-Mondolfi; Alexandra M Pérez-Alvarez; Ulf Lundberg; Lizette Fornés; Oscar Reyes-Jaimes; Marier Hernández-Pérez; Eric Hossler
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  International journal of dermatology     Volume:  50     ISSN:  1365-4632     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  535-541     Citation Subset:  -    
Copyright Information:
© 2011 The International Society of Dermatology.
Affiliation:
Department of Pathology and Laboratory Medicine, St Luke's-Roosevelt Hospital Center (University Hospital of Columbia University College of Physicians and Surgeons) and Beth Israel Medical Center, New York, NY, USA Laboratorio de Bioquímica. Instituto de Biomedicina, Universidad Central de Venezuela/Ministerio de Salud y Desarrollo Social, Caracas-Venezuela Departamento de Biología Estructural, Instituto Venezolano de Investigaciones Científicas, Caracas, Venezuela Technische Universität Darmstadt, Darmstadt-Germany Departamento de Dermopatología, Instituto de Biomedicina, Universidad Central de Venezuela/Ministerio de Salud y Desarrollo Social, Caracas-Venezuela Department of Pathology and Laboratory Medicine, Boston Medical Center, Boston, MA, USA Department of Dermatology, Geisinger Medical Center, Danville, PA, USA.
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