{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T02:21:45Z","timestamp":1789352505518,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,4,20]],"date-time":"2011-04-20T00:00:00Z","timestamp":1303257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2002<\/jats:bold> Lepidopterism derived from contact with arthropods and\/or their products can result in adverse reactions that vary in severity from mild irritation to severe reactions including anaphylactic shock and death. Lepidopterism includes cutaneous and\/or mucosal manifestations, systemic symptoms, or both mucocutaneous and systemic manifestations.<\/jats:p><jats:p><jats:bold>Objective\u2002<\/jats:bold> Epidemic outbreaks of dermatitis due to <jats:italic>Hylesia<\/jats:italic> sp. have been recorded in several countries of Latin America. The impact of climatic changes occurring presently on migrational and reproductive cycles of <jats:italic>Hylesia metabus<\/jats:italic> is also discussed in this study.<\/jats:p><jats:p><jats:bold>Materials and methods\u2002<\/jats:bold> In Venezuela, swarms of migrating <jats:italic>H. metabus<\/jats:italic> moths are historically recognized as the causative agents of \u201cCaripito itch,\u201d a disease that has become an important public health problem.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> In this review, we present a series of four case reports reflecting the wide clinical pleomorphism exhibited in lepidopterism by <jats:italic>H. metabus<\/jats:italic>.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Although dermatitis caused by these moths is usually resistant to all therapeutic treatment, individualization of therapy based on symptoms led to successful treatment in all four cases.<\/jats:p>","DOI":"10.1111\/j.1365-4632.2010.04683.x","type":"journal-article","created":{"date-parts":[[2011,4,21]],"date-time":"2011-04-21T01:36:13Z","timestamp":1303349773000},"page":"535-541","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Cutaneous lepidopterism: dermatitis from contact with moths of <i>Hylesia metabus<\/i> (Cramer 1775) (Lepidoptera: Saturniidae), the causative agent of caripito itch"],"prefix":"10.1111","volume":"50","author":[{"given":"Alberto E.","family":"Paniz\u2010Mondolfi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra 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