Summary
Definition
History and exam
Key diagnostic factors
- bed bug sighting
- irregular linear erythematous papules
- new skin lesions noted in the morning
- pruritus
Other diagnostic factors
- pain or burning
- papular or diffuse urticaria
- bullae
- widespread urticaria/wheezing/stridor/hypotension
- specks of blood or feces on sheets
Diagnostic investigations
Investigations to consider
- skin scraping of lesion (mineral oil preparation)
- skin biopsy
Treatment algorithm
Contributors
Authors
Professor of Dermatology
Chair
Department of Dermatology
Boonshoft School of Medicine
Wright State University
Dayton
OH
Disclosures
JJT declares that he has no competing interests.
Dermatology Resident Physician
Department of Dermatology
Boonshoft School of Medicine
Wright State University
Dayton
OHÂ
Disclosures
EU declares that she has no competing interests.
Dr Julian Trevino and Dr Elizabeth Usedom would like to gratefully acknowledge Dr Suzanna Dundon and Dr David Carr, previous contributors to this topic.
Disclosures
SD and DRC declare that they have no competing interests.
Peer reviewers
Chairman and Professor
Department of Medicine
Professor of Pediatrics
Billy S. Guyton Distinguished Professor
University of Mississippi Medical Center
Jackson
MS
Disclosures
RD declares that he has no competing interests.
Faculty Physician
Dermatology and Pediatric Dermatology
Phoenix Children's Hospital
Phoenix
AZ
Disclosures
XN declares that she has no competing interests.
Professor
Director
Medical Entomology Centre
University of Cambridge
Cambridge
UK
Disclosures
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.
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