
Suggest Treatment For Skin Lesions Caused By Insect Bites

Possibility of bedbugs is strong
Detailed Answer:
Hello Dear Sir
Welcome.
I am Dr V XXXXXXX a Sr Dermatologist.
I have seen the attached pic and assessed the details. The combined description very closely matches lesions caused by bed bugs/insect bites.
To anyone attending with me in person, i would have requested a full body examination as well as request them to minutely monitor their items of bed linen as well as surroundings.
For the lesions to resolve fast, the following recommendations are given:
1 Good hygiene by taking measures to iron the loose bed covers, pillow covers, personal clothing, etc
2 Mattresses to be professionally disinfected
3 If other family members are residing with you, then make sure that they either take adequate precautions or treatment depending on their state
3 Sponging with plain water thrice daily followed by application of Mupirocin and Hydrocortisone creams in equal proportions
4 Cetrizine 10 mg or comparable antilallergic tab per day
5 Avoidance of scratching.
Please make best use of this information and stay in touch about your progress.
I will be glad to answer your concerns
Our best wishes.


Folliculitis can mimic descrption
Detailed Answer:
Hello Dear Sir
Thanks for providing the inputs.
Folliculitis or Ecthyma can sometimes mimic the appearance that has been described. These are bacterial infections which affect skin on anywhere on the body and present as small, sometimes oozy or pus filled lesions that tend to persist as red bumps and the fade away following treatment usually in the form of disinfectants or locally applied antibiotics..
A culture of the discharge from the lesions is a great help in diagnosis.
I have considered other possibilities like Dermatitis Herpetiformis and Erythema Multiforme as well but those present either as clustered lesions or concentric variously colored rings and that does not match description.
For now, it is advisable to have a culture test done and if needed a biopsy can be considered at a later stage.
Starting with the above suggestions is likely to provide immediate relief from symptoms.
To begin with, one should begin with Mupriocin and wait for addition of Hydrocortisone till later after investigations, whereas antiallergic is needed from the very beginning.
Investigations may be undertaken at the earliest.
Please contact me again for any queries. I will be glad to resolve problem.
Best wishes


Of course it is not possible to be sure that my right side is always exposed. But it seems to be the case. I just took one Cetrizine, but you recommend 4 per day? Thanks.
Antiallergic can be repeated up to twice a day
Detailed Answer:
Hi Dear Sir
Thanks for coming back.
Insect bites is a possibility that cannot be ruled out here. Generally fresh lesions from insect bite will mostly show a punctum or the point through which the insect bites. However, the punctum might not be so apparent after use of medication/ handling.
Cetrizine is generally taken once a day and up to two in most cases on a daily basis are considered safe, unless one gets drowsiness or some other unpleasant side effect. Generally taken in safe doses it is able to deliver the desired results.
Where I mentioned Cetrizine in earlier post, Cetrizine was point number 4 and not 4 tablets. Kindly note the change.
Best wishes, always!
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