Medicine:Blister beetle dermatitis

From HandWiki
Blister beetle dermatitis
SpecialtyDermatology

Blister beetle dermatitis is a cutaneous condition that occurs after contact with any of several types of beetles, including those from the Meloidae and Oedemeridae families.[1]:449 Blister beetles secrete an irritant called cantharidin, a vesicant that can get onto humans if they touch the beetles.

The term "blister beetle dermatitis" is also occasionally and inappropriately used as a synonym for Paederus dermatitis, a somewhat different dermatitis caused by contact with pederin, an irritant in the hemolymph of a different group of beetles, the rove beetles.[2]

Symptoms and signs

After skin comes in contact with cantharidin, local irritation begins within a few hours.[3] (This is in contrast to Paederus dermatitis, where symptoms first appear 12–36 hours after contact with rove beetles.)[4] Painful blisters appear, but scarring from these epidermal lesions is rare.[5]

Diagnosis

Typical Vesicles/Blister at site where beetle salivates.[citation needed]

Treatment

Wash with soap and water. Cold application Topical Steroid and Antihistamines application.[citation needed]

See also

  • List of cutaneous conditions
  • Skin lesion

References

  1. James, William D. et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 978-0-7216-2921-6. 
  2. [1] 'Paederus dermatitis' by Gurcharan Singh and Syed Yousuf Ali, Indian Journal of Dermatology, Venereology and Leprology, Jan-Feb 2007
  3. "7.7 Blister beetles, clinical features". Institute of Tropical Medicine. http://www.itg.be/itg/distancelearning/lecturenotesvandenendene/52_Ectoparasitesp7.htm#T8. "On skin contact with cantharidin-containing blister beetles, local tissue irritation occurs after a few hours. This results from the disruption of tonofilaments in the desmosomes with acantholysis and intra-epidermal blister formation." 
  4. "Just the facts…Paederus Beetles". US Army Public Health Command. http://phc.amedd.army.mil/PHC%20Resource%20Library/PaederusBeetleJan2010.pdf. 
  5. Barceloux, Donald (2008). Medical toxicology of natural substances: foods, fungi, medicinal herbs, plants, and venomous animals. John Wiley and Sons. pp. 973. ISBN 9780470335574. https://books.google.com/books?id=CpqzhHc072AC. 

External links