Atopic dermatitis see below for basic dry skin care. If not immediately washed off, the chemical leads to a linear dermatitis composed of erythematobullous lesions. Paederus dermatitis is an acute irritant contact dermatitis caused by pederin, a hemolymph fluid released when paederus beetles are crushed against the skin. Treatments are aimed at preventing dry skin, treating the rash, improving the itch, and. The first document on a medically significant coleopteran, dating back to the 1970s 21, reports injuries from the genus paederus coleoptera. It affects a large section of the american population to a lesser or greater degree. Paederus dermatitis, also known as dermatitis linearis. Its head is shiny black, its thorax and first four abdominal segments are red, its elytra are blue, and its last two abdominal segments are black. Paederus beetles have been known in western medicine, for their toxicity, for over 100 years.
Rove beetles of the genus paederus cause dermatitis when they come in contact with human skin. Hand rashes usually result from a combination of 1 sensitive skin and 2 irritation or allergy from materials touched. Pierre saintmezard1 allergic contact dermatitis aurore rosieres1 maya krasteva1 frederic berard1,3 bertrand dubois2 dominique kaiserlian3 jeanfrancois nicolas1,3 1 insermu503,ifr128 bioscience lyongerland,21,avenuetonygarnier 69007 lyon 2 insermu404,ifr128 bioscience lyongerland,21,avenuetonygarnier 69007 lyon 3. The diagnostic clue in this outbreak of dermatitis is. Paederus dermatitis also known as night burn is a peculiar irritant dermatitis following the contact with an insect belonging to genus paederus and its fluid, which contains a blistering, toxic amide, the chemical pederin. 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 449 blister beetles secrete an irritant called cantharidin, a vesicant that can get onto humans if they touch the beetles. The disease is provoked by an insect belonging to the genus paederus. Paederus dermatitis is a peculiar, irritant contact dermatitis caused by a beetle belonging to the genus paederus. Paederus dermatitis, medically known as dermatitis linearis, is a skin irritation resulting from contact with the hemolymph of certain rove beetles, a group that belongs to the insect order coleoptera and the genus paederus.
Paederus dermatitis amongst medical students in usm, kelantan table 1 summary of reported patients with paederus dermatitis patient age sex site duration symptoms therapy outcome in days 25 m face burning 3% hydro subsided cortisone cream 2 23 f face 2 asymptomatic 3% hydro subsided cortisone cream. An outbreak of paederus dermatitis in a primary school. Atopic dermatitis see below for basic dry skin care definition. This insect does not bite or sting, but releases a. Pdf an outbreak of paederus dermatitis in thai military. Eczema dermatitis 1 eczema dermatitis causes, symptoms, and natural treatments eczema is a condition where patches of skin become inflamed, itchy, red, cracked, and rough. Paederus dermatitis is an acute irritant dermatitis resulting from contact with the hemolymph of paederus beetles. Contact dermatitis cd is usually a localized rash that clears up in two to three weeks. Aug 08, 2010 the affected area becomes red, swollen, and itchy, causing the skin to peel when scratched.
A randomized doubleblind, prospective, placebocontrolled clinical trial was performed in. Pdf clinical presentation of rove beetle dermatitis. It is the result of multiple subthreshold insults induced by weak irritants. Pdf treatment of paederus dermatitis with sambucus. Outbreaks of paederus dermatitis have occurred in africa, asia, and south america. Pdf abstract paederus fuscipes, a vector of paederus dermatitis in most tropical and subtropical countries of the world have a high. An outbreak of paederus dermatitis in thai military. Pdf paederus dermatitis is an irritant contact dermatitis due to accidental contact by a beetle belonging to the genus paederus.
Paederus dermatitis among residents of nursing hostel in central india. Discussion paederus dermatitis is an entomological model of irritant contact dermatitis. Historically, extracts of paederus beetles have been used by the chinese since at least the year 739 in the medicinal treatment of boils, nasal polyps, and ringworm. Paederus dermatitis, alternatively called blister beetle dermatitis, nairobi fly bites, and kenya fly dermatitis, is a form of irritant contact dermatitis that is prevalent in the tropics. An outbreak investigation neelam anupama toppo 1, ajeet singh bhadoria 2, pradeep kumar kasar 1, anshuli trivedi 3. Red, scaly or bumpy, itchy rash with thickened skin often starts on the cheeks at 2 to 6 months of age most common on flexor surfaces creases of elbows, wrists, and knees occasionally other areas such as neck, ankles, and feet are involved. Pdf rove beetles of the genus paederus cause dermatitis when they come in contact with human skin. Paederus dermatitis among residents of nursing hostel in. Clinical presentation of rove beetle dermatitis among university students 20 enhanced using ado be photo shop software in order to provide the most suitable image for the ro ve beetle. Therefore the evaluation and management of ad are an integral part of an allergistimmunologists training and practice. A management update kelly maples, md, faaaai, facaai associate professor of pediatrics and internal medicine eastern virginia medical school childrens hospital of the kings daughters i have nothing to disclose.
One such disease is paederus dermatitis, an irritant contact dermatitis related to exposure to the rove beetle characterized by bullous lesions with surrounding. Allergic contact dermatitis versus irritant contact dermatitis. Other local names given to paederus dermatitis include spiderlick, whiplash dermatitis, and nairobi fly dermatitis. Objectives discuss the immune and skin barrier dysfunction that occurs in atopic dermatitis. The presenting ss in this study are similar to that of paederus dermatitis where the onset of burning sensation is followed by erythematous plaques with vesicles appearing 12 36 hours later. Dermatitis herpetiformis dh is a subepidermal bullous disease characterized by chronic recurrence of itchy, erythematous papules, urticarial wheals and grouped vesicles that appear symmetrically on the. Paederus is a genus of small beetles of the family staphylinidae rove beetles. The disease is provoked by an insect belonging to genuspaederus. Eczema, also known as atopic dermatitis, is a chronic, itchy inflammatory condition of the skin that is often associated with asthma or hay fever. Atopic dermatitis patient atopic dermatitis eczema perspectives atopic dermatitis, also called eczema, is a common and chronic skin condition in which the skin appears inflamed, red, itchy and dry. However, sometimes it can be persistent or severe, and occasionally can become widespread. Paederus dermatitis is a perculiar irritant contact dermatitis characterised by erythematobullous lesions of sudden onset on exposed areas of the body.
This pdf is available for free download from a site hosted by medknow publications. Paederus dermatitis singh g, yousuf ali s indian j dermatol. Paederus dermatitis is an irritant dermatitis caused by pederin, a toxin produced by the rove beetle paederus. This beetle does not bite or sting, but accidental brushing against or crushing the beetle over the skin provokes the release of its coelomic fluid which contains paederin, a. Paederus dermatitis karthikeyan k, kumar a indian j. Allergic contact dermatitis versus irritant contact dermatitis 3 cumulative irritant contact dermatitis this is the most prevalent type of icd. Sep 15, 2016 laovirojjanakul w, pipatbanditsakul s, yospaiboon y 2015 ophthalmic manifestations of paederus dermatitis. Worldwide, 622 species have been recognized so far 17. Paederus dermatitis in sierra leone is a relatively severe form of this dermatitis. Most patients with ad will also have another atopic disorder, such as allergic rhinitis, asthma, or food allergy.
Due to toxins in the hemolymph of some species within this genus, it has given its name to paederus dermatitis, a characteristic skin irritation that. Paederus dermatitis amongst medical students in usm, kelantan. Its population increases markedly during the rainy season in july and august. Eczema dermatitis eczema dermatitis causes, symptoms, and. Healing time ranged from 14 to 28 days and lesions in all the patients healed with residual dyschromia.
Department of clinical sciences and center for comparative medicine and translational research, college. Pdf nairobi fly paederus dermatitis in south sudan. Treatment of paederus dermatitis with sambucus ebulus lotion. Paederus dermatitis, medically known as dermatitis linearis, is a skin irritation resulting from. Healing time was shorter in group b patients in comparison with those in group a. A randomized doubleblind, prospective, placebocontrolled clinical trial was performed in 62 patients with clinical symptoms and sings of. Paederus dermatitis is a skin irritation resulting from contact with the hemolymph of certain rove beetles, a group that belongs to the insect order coleoptera and the genus paederus. This is a complete and comprehensive document at the current time. The disease occurs worldwide, but it is often not recognized as a history of contact with the insect is frequently absent. Paederus fuscipes curtis, the most common species in our region, is the main cause of paederus dermatitis.
Pdf paederus dermatitis, a type of irritant contact dermatitis attributed to a staphylinid beetle, is prevalent in most parts of the world. Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17. Background outbreaks of paederus dermatitis pd have been observed in different parts of the world, yet the histopathological and ultrastructural changes and their relationship to pederin toxin have not been described. Clinical and epidemiological features of paederus dermatitis. Pdf attraction factors for paederus fuscipes dispersal, a vector of.
This insect does not bite or sting, but releases a fluid containing paederin, a potent vesicant agent. Paederus dermatitis is an irritant contact dermatitis due to accidental contact by a beetle belonging to the genus paederus. Pierre saintmezard1 allergic contact dermatitis aurore. Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of erythematobullous lesions on exposed areas of the body. This beetle does not bite or sting, but accidental brushing against or. Pastore et al pathogenesis of atopic dermatitis saveria pastore1, francesca mascia1, maria laura giustizieri1, alberto giannetti2 and giampiero girolomoni1 1 laboratory of immunology, istituto dermopatico dellimmacolata, irccs, rome, italy, 2department of dermatology, university of. With 622 valid species assigned by 1987 to the subtribe paederina paederus and its close allies, and with all but 148 within paederus itself, the genus is large. Ophthalmic manifestations of paederus dermatitis springerlink. The repetitive nature of the irritants does not allow the skin to recover leading to persistent dermatitis or chronic dermatitis. Red, extremely itchy rash often starts on the cheeks at 2 to 6 months of age most common on flexor surfaces creases of elbows, wrists, and knees occasionally, neck, ankles, and feet are involved rash is raw and weepy if scratched. Hand dermatitis hand eczema is another name for the same thing is common. Paederus dermatitis, is a poor choice because, decades earlier, the affliction had been called dermatitis linearis, a name that works in all languages, not just english, because of its latin origin the name paederus dermatitis is also inappropriate because it has shown to be caused by only a few species of the genus paederus. Several overthecounter shampoos are available for treatment of seborrheic dermatitis of the scalp, and patients should be directed to initiate therapy with one of these agents. The aim of this study was to describe the epidemiological and clinical findings of an outbreak of paederus dermatitis in panama.
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