[Anthrenus dermatitis]

[Anthrenus dermatitis : Case report with suggestions regarding causes and consequences]

Beetles of the genus Anthrenus are widespread worldwide and are quite common as grain and stock pests, especially in rural regions and suburban areas. The larvae of the beetles can trigger skin and occasionally mucosal reactions upon contact. The unfamiliar but typical image of "Anthrenus dermatitis" can easily be misinterpreted if beetle larvae are not detected or a causal link with them is not suspected. In the present article, the causes of Anthrenus dermatitis are discussed using as an example the larva of the woolly flower beetle (Anthrenus verbasci). For the examination of allergic causes, a prick-to-prick test with native larval material was performed in a patient and the specific IgE was determined by CAP coupling as well as in addition to a commercially available ImmunoCAP against larvae of a related beetle species. With the help of an immunoblot, an attempt was made to determine the responsible allergens in the native larval tissue. Important anatomical fine structures of the larva of a woolly herb flower beetle were analyzed using scanning electron microscopy to understand functional processes that lead to the clinical picture of Anthrenus dermatitis. Our allergological findings suggest an IgE-mediated, immediate-type allergy.

Occurrence, ecological function and medical importance of dermestid beetle hastisetae

Hastisetae are a specific group of detachable setae characterizing the larvae of Megatominae (Coleoptera: Dermestidae), commonly known as carpet and khapra beetles. These setae are located on both thoracic and abdominal tergites and they are the primary defense of the larva against invertebrate predators. According to previous studies, the main purpose of hastisetae is to work as a mechanical obstacle, but they are also capable to block and kill a predator. Hastisetae, single or aggregate, function as an extremely efficient mechanical trap, based on an entangling mechanism of cuticular structures (spines and hairs) and body appendages (antennae, legs and mouthparts). It is believed that this defensive system evolved primarily to contrast predation by invertebrates, however it has been observed that hastisetae may affect vertebrates as well. Although information on the impacts of vertebrate predators of the beetles is lacking, hastisetae have been shown to be a possible threat for human health as an important contaminant of stored products (food and fabric), work and living environment. Review of past and recent literature on dermestid larvae has revealed that despite these structures indicated as one of the distinctive characters in species identification, very little is known about their ultrastructure, evolution and mechanism of action. In the present work, we will provide the state of knowledge on hastisetae in Dermestidae and we will present and discuss future research perspectives intended to bridge the existing knowledge gaps.

Dermestid Dermatitis in a 2-Year-Old Girl: Case Report and Review of the Literature

Dermatitis from contact with carpet, larder, and hide beetles (family Dermestidae) is a seemingly uncommon or underrecognized hypersensitivity reaction to the specialized hairs on the larvae of certain dermestid beetles. The erythematous papulovesicular dermatitis that may result from such contact can be mistakenly construed as evidence of bites of bedbugs or other arthropods or infestation with scabies mites or can be the basis for a diagnosis of delusory parasitosis. We present a case of dermestid dermatitis in a 2-year-old girl and provide a review of the current literature.