Summary
Definition
História e exame físico
Principais fatores diagnósticos
- bed bug sighting
- irregular curved or linear erythematous papules
- new skin lesions noted in the morning
- pruritus
Outros fatores diagnósticos
- pain or burning
- papular or diffuse urticaria
- bullae
- widespread urticaria/wheezing/stridor/hypotension
- specks of blood or feces on sheets
Fatores de risco
- high-turnover environment
- recent travel
- secondhand furniture in the home
Investigações diagnósticas
Investigações a serem consideradas
- skin scraping of lesion (mineral oil preparation)
- skin biopsy
Algoritmo de tratamento
symptomatic disease
Colaboradores
Autores
Whitney A. High, MD, JD, MEng
Professor of Dermatology and Pathology
Director of Dermatopathology (Dermatology)
School of Medicine
University of Colorado
Colorado
CO
Declarações
WAH declares that he has no competing interests.
Agradecimentos
Dr Whitney A. High would like to gratefully acknowledge Dr Julian Trevino, Dr Elizabeth Usedom, Dr Suzanna Dundon, and Dr David Carr, previous contributors to this topic.
Declarações
JJT, EU, SD, and DRC declare that they have no competing interests.
Revisores
Richard deShazo, MD
Chairman and Professor
Department of Medicine
Professor of Pediatrics
Billy S. Guyton Distinguished Professor
University of Mississippi Medical Center
Jackson
MS
Declarações
RD declares that he has no competing interests.
Xuan Nguyen, MD
Faculty Physician
Dermatology and Pediatric Dermatology
Phoenix Children's Hospital
Phoenix
AZ
Declarações
XN declares that she has no competing interests.
Ian F. Burgess, MSc, MPhil
Professor
Director
Medical Entomology Centre
University of Cambridge
Cambridge
UK
利益声明
IFB has been a consultant to various manufacturers of pharmaceutical products, alternative therapies, and combs for treating louse infections. IFB is an author of a number of references cited in this topic.
参考文献
关键文献
Parola P, Izri A. Bedbugs. N Engl J Med. 2020 Jun 4;382(23):2230-7. 摘要
McNeill C, Jarrett A, Shreve DM, et al. Bed bugs: current treatment guidelines. J Nurse Pract. 2017 Jun;13(6): P381-8.全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Insect or spider bite
- Urticaria
- Scabies
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