What is the correct management of dermatitis after handling the creature pictured?
- Hot water immersion
- Intramuscular epinephrine
- Topical application of liquid antacid
- Transparent tape application and removal over the area of dermatitis
This post has been peer-reviewed on behalf of ACMT by Bryan Judge, Louise Kao, and Daniel Repplinger
References
- Hossler EW. Caterpillars and moths: Part I. Dermatologic manifestations of encounters with Lepidoptera. J Am Acad Dermatol. 2010 Jan;62(1):1-10; quiz 11-2. Review. Erratum in: J Am Acad Dermatol. 2010 Apr;62(4):666. PMID: 20082886
- Hossler EW. Caterpillars and moths: Part II. Dermatologic manifestations of encounters with Lepidoptera. J Am Acad Dermatol. 2010 Jan;62(1):13-28; quiz 29-30. Review. Erratum in: J Am Acad Dermatol; 62(4):666. PMID: 20082887
- Repplinger DJ & Hahn IH. Arthropods. In: Goldfrank’s Toxicologic Emergencies, Nelson LW Howland MA Lewin NA eds; 11th< edition 2019; McGraw Hill, New York, NY.
- Gummin DD, Mowry JB, Spyker DA, Brooks DE, Beuhler MC, Rivers LJ, Hashem HA, Ryan ML. 2018 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 36th Annual Report. Clin Toxicol (Phila). Epub 2019 Nov 21. Erratum in: Clin Toxicol (Phila). 2019 Dec;57(12):e1. PMID: 31752545
- Walker RB, Thomas T, Cupit D, Giaquinto-Shreves J. An epidemic of caterpillar sting dermatitis in a rural West Virginia community. W V Med J. 1993 Feb;89(2):58-60. PMID: 8442349
- Schmitberger PA, Fernandes TC, Santos RC, de Assis RC, Gomes AP, Siqueira PK, Vitorino RR, de Mendonça EG, de Almeida Oliveira MG, Siqueira-Batista R. Probable chronic renal failure caused by Lonomia caterpillar envenomation. J Venom Anim Toxins Incl Trop Dis. 2013 Jun 3;19(1):14. PMID: 23849585
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