Systemic manifestations of erucism: a case report
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Updated: Oct 9, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Y Finkelstein1, B Raikhlin-Eisenkraft, U Taitelman
1Israeli Poison Control Center, Rambam Medical Center, Technion Facultyof Medicine, Haifa, Israel.
Abstract:
Larvae of the caterpillar Thaumetopoea wilkinsoni are widely distributed in pine groves throughout Israel. Erucism is defined as urtication by Lepidoptera larvae. Both irritating effects on contact with skin and eyes and toxic effects on ingestion have been described after exposure to several species of Lepidoptera. We report the case of a 4-year-old child who vomited repeatedly and developed symmetrical swelling of both hands after touching a larva of Thaumetopoea wilkinsoni.
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