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Image Number 1980 (Insect bite reaction)


Diagnosis: Insect bite reaction

Site: Leg

Sex: M

Age: 32


Description: Clustered red papules with central punctum

Submitted by: Ted Rosen

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Differential Diagnosis


Patient awoke and noted new onset, itchy, crusted red papules, in clusters on both legs. He had been staying in a hotel in New York. Searched room and found bed bugs in bed frame. These insects have had a resurgence in the US and Britain. In the US, both the East coast (NYC, Philadelphia, Washington, DC) and Midwest (Cincinatti, Dayton, Detroit and Chicago) show the most bed bug infesatations.

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