Culicosis T14.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Inflammatory, mostly urticarial skin reaction after insect bites (e.g. from mosquitoes or flies).

Localization
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Freely carried skin areas.

Clinical features
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  • During the stabbing reaction, there is clear, unpleasant pain at the site of exposure, later also itching. Quaddle formation with a central mostly hemorrhagic point at the puncture site. Blistering is not uncommon ( Culicosis bullosa). Rarely a large-area succulent infiltrate, extending beyond the actual site of exposure, up to palm-sized (rarely larger).
  • Some people react to insect bites with long-lasting, highly itchy granulomas. Such observations are often made after holidays in warm climates (e.g. subtropics or tropics).

Therapy
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Normally not necessary. In case of a strong skin reaction glucocorticoid such as 0.5% hydrocortisone cream e.g. Hydrogalen Cream, R119 or possibly the more effective 0.1% betamethasone lotio (e.g. Betagalen Lotio, R030 ).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020