臺灣臺東地區隱翅蟲皮膚炎之流行病學及臨床分析

Epidemiology and Clinical Analysis of Paederus Dermatitis in Taitung, Taiwan

羅婉心(Yuan-Hsin Lo) ； 吳育弘(Yu-Hung Wu) ； 蘇信義(Hsin-Yi Su)

《中華皮膚科醫學雜誌》 18卷3期 (2000/09) Pp. 177-184

https://doi.org/10.29784/DS.200009.0001

摘要

隱翅蟲皮膚炎是一種由隱翅蟲屬的昆蟲所造成之刺激性皮膚炎。我們統計自1997年4月至1998年3月一年內63名患者(女性37人，男性26人)的表徵做一臨床分析。患者年齡分佈廣泛，自三個月至72歲，平均年齡為28.2歲。患者人數於五月時逐漸增加，六至八月間達到高峰，之後又明顯減少，於冬季只有零星病例發生。皮疹分佈依常見度依序為頭部(35%)、頸部(35%)、軀幹(21%)、下肢(16%)及上肢(13%)，有些患者不只一處出現病灶，而疼痛則是最常見的不適。14%的病人會出現膿疱，但是只有在一位病人中培養出少量的金黃色葡萄球菌。超過一個月的發炎後色素沈著很常見(69%)，但多在三個月內消退。由於隱翅蟲皮膚炎在臨床上與許多皮膚疾患很類似，需要小心作鑑別診斷。

並列摘要

Paederus dermatitis is an irritant contact dermatitis caused by body fluid of Paederus. Due to its common occurrence and overlapping features with other dermatoses, we conducted a survey of its epidemiology and clinical appearance. The ages of the total 63 patients(female 37, male 26) range from 3 months to 72 years, with a mean of 28.2 years. The number of the patients increased gradually from May and reached peak from June through August. The number declined sharply thereafter, and only sporadic cases occurred in the winter. The distributions of the lesions are as follows, head(35%), neck(35%), trunk(21%0, lower limbs (16%) and upper limbs (13%). Some of the patients have skin lesions on more than one area. Pain is the most common symptom. Pustules could be seen in 14% of the patients and only a small amount of Staphylococcus aureus was isolated in one patient. Post-inflammatory hyperpigmentation lasting for more than one month was noted in 69% of the patients, and usually subsided within 3 months.

並列關鍵字

paederus dermatitis ； paederus