Hypertension and abdominal pain: Uncommon presentation after exposure to a pine caterpillar

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Abstract

The pine caterpillar Thaumatopoea wilkinsoni is found in pine woods all over Israel. Contact with its hair usually results in local reactions. Systemic reactions after contact with caterpillar hairs are known in other caterpillar species, but have been described only once after contact with T. wilkinsoni. We describe a group of adolescents who were exposed to T. wilkinsoni while camping in a pine wood. Three of them were referred to an emergency department. They had severe pruritus, pain and edema at the contact sites, with papular and urticarial rashes. Two of the patients had abdominal pain and one patient had hypertension for several hours. The hypertension resolved spontaneously. Conclusion: Skin eruptions are the most common manifestations of T. wilkinsoni contact, however, although systemic manifestations are rare, abdominal pain and hypertension may occur. Copyright (C) 1999 Elsevier Science Ltd.

Original languageEnglish
Pages (from-to)1797-1801
Number of pages5
JournalToxicon
Volume37
Issue number12
DOIs
StatePublished - Dec 1999

Keywords

  • Abdominal pain
  • Exposure
  • Hypertension
  • Pine caterpillar

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