Bug Bites

Simple papules, like mosquito bites.  Maybe excoriated
  • Bedbugs classically bite 3 in a row.
  • New lesions occur if exposure continues
Sources of bugs:
  • Pets can harbor fleas
  • Mice mice residing inside walls harbor fleas
  • Spider nests with hungry babies bite at night.
  • Occupational or avocational exposures (e.g. gardening)
  • Mosquitos, midges, and sandflies in specific seasons & environs
Suspect if lesions are only on exposed areas
  • Also ask how the patient sleeps (naked, pajamas, just underwear?)