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The Eyelid Sign: A Clue to Bed Bug Bites
Author(s) -
Quach Kim A.,
Zaenglein Andrea L.
Publication year - 2014
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12332
Subject(s) - medicine , eyelid , dermatology , erythema , culprit , bed bug , insect bites , trunk , edema , surgery , anatomy , ecology , psychiatry , biology , myocardial infarction
In pediatric patients, determining the culprit insect in arthropod assaults can be challenging. The patient’s history may be vague, the causative insect may not be readily associated with the bites, and the clinical appearance of bites can be variable. Six pediatric patients from the P enn S tate Milton S. H ershey M edical C enter dermatology offices with bed bug bites were identified. All had bites involving the face, trunk, and extremities. Five patients demonstrated papules on one upper eyelid associated with erythema and edema. One patient had papules on both upper eyelids. When an arthropod assault is suspected, the “eyelid sign,” i.e., bites involving the upper eyelid associated with erythema and edema, may point to bed bugs.