A 26-year-old male presented to clinic with bites of unknown origin. These were determined to most likely be arthropod bites, although the exact offending insect was not certain. Arthropod bites are very common and can cause a range of symptoms with varying degrees of severity. Most bites present as distinct papular lesions which can be painful, stinging, or pruritic. Patient history and time of year can provide helpful clues to narrow down the culprit bug. Regardless of origin, uncomplicated insect bites typically respond to treatment with topical corticosteroids. Oral antihistamines may be used as adjunctive therapy for patients who experience severe pruritus. In the case of indoor bug bites, it may be necessary to hire an exterminator to remove any infestations.
KeywordsBug bite Arthropod Spider Flea Tick Wasp Bee Sting Hymenoptera Mosquito Allergy Allergic Anaphylaxis Antihistamine Topical steroid
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