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Cutaneous reaction induced by retained bee stinger.

W Hur¹, S K Ahn, S H Lee

¹Department of Dermatology, Yonsei University Wonju College of Medicine, Korea.

The Journal of Dermatology

|December 1, 1991

Summary

A persistent bee sting apparatus in a Korean male caused ulcerative skin lesions mimicking cancer. Histopathology revealed necrosis, hyperplasia, and inflammation around the retained foreign body.

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Area of Science:

Dermatology
Pathology
Entomology

Background:

Bee stings can cause local reactions.
Retained foreign bodies in the skin may lead to chronic inflammation.
Cutaneous neoplasms require accurate differential diagnosis.

Observation:

A 54-year-old Korean male presented with chronic ulcerative, erythematous plaques.
Lesions had irregular borders, clinically resembling squamous cell carcinoma.
The bee sting apparatus was retained for four months.

Findings:

Histopathology showed epidermal necrosis and pseudoepitheliomatous hyperplasia.
The bee sting apparatus was identified within the dermis.
Intense lymphohistiocytic and eosinophilic infiltrations were observed.

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Implications:

This case highlights the importance of considering retained foreign bodies in chronic skin lesions.
Accurate diagnosis requires integrating clinical presentation with histopathologic findings.
Understanding the inflammatory response to retained bee sting apparatus is crucial for dermatologists.