Zusammenfassung
Beim Lepidopterismus (Lepidopterae = Schmetterlinge) handelt es sich um meist toxisch irritative, selten allergische Reaktionen, die durch Ausschüttung von Histamin, Thaumetopoein und weiteren Kininen aus den Haaren von Schmetterlingen sowie deren Raupen hervorgerufen werden können. In Mitteleuropa kommen der Eichenprozessionsspinner sowie der Pinienprozessionsspinner als Auslöser eines Lepidopterismus in Betracht. Neben rein kutanen Reaktionen kann es nach Kontakt auch zu einer Konjunktivitis, Bronchitis sowie zu anaphylaktischen Reaktionen kommen. Anhand von 2 Patientenberichten möchten wir die Hautreaktionen beim Lepidopterismus vorstellen.
Abstract
Caterpillar dermatitis or lepidopterism (Lepidoptera = butterflies) is a toxic-irritant, or rarely allergic, reaction triggered by the release of histamine, thaumetopoein and other kinins from the hairs of butterflies and caterpillars. In Central Europe, the two main causes of caterpillar dermatitis are the oak and pine processionary caterpillar. In addition to cutaneous reactions, patients may develop conjunctivitis, bronchitis and even anaphylactic reactions. We describe the cutaneous aspects of caterpillar dermatitis based on two case reports.
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Utikal, J., Booken, N., Peitsch, W. et al. Lepidopterismus. Hautarzt 60, 48–50 (2009). https://doi.org/10.1007/s00105-008-1567-2
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DOI: https://doi.org/10.1007/s00105-008-1567-2