Diagnosis: Insect bite reaction 1
Description: Dense mixed infiltrate extending down to fat layer
Morphology: Papules,red
Site: Buttocks
Sex: M
Age: 53
Type: Clinical & Histology
Submitted By: Ian McColl
Differential DiagnosisHistory: This picture is very suggestive of Bed Bug bite reactions with their linear arrangement..The lesions are due to a hypersensitivity to the saliva of the bed bug giving rise to urticarial ,papular and plaque reactions at bite sites.The bedbug can produce several bites in a linear arrangement in the one night..Hepatitis B may be spread by bed bugs.