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Pinemoth caterpillar disease.

J P Lawson, Y M Liu

    Skeletal Radiology
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Pinemoth caterpillar disease, caused by contact with the pinemoth (Dendrolimus punctatus), presents with systemic and localized symptoms, including arthritis. Radiologic findings reveal acute and chronic changes in affected joints.

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    Area of Science:

    • Environmental Health
    • Dermatology
    • Rheumatology

    Background:

    • Pinemoth caterpillar disease is a recognized disorder in Southeastern China.
    • It results from exposure to the cocoons or larvae of the pinemoth (Dendrolimus punctatus).

    Purpose of the Study:

    • To describe the clinical and radiologic manifestations of pinemoth caterpillar disease.
    • To highlight the diagnostic features of this zoonotic disorder.

    Main Methods:

    • Review of clinical case presentations.
    • Analysis of radiologic findings in affected individuals.

    Main Results:

    • Generalized symptoms include fever, anorexia, malaise, rigors, headache, and dizziness within two weeks of exposure.

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  • Localized findings encompass dermatologic changes, skin nodules, and predominantly monoarticular arthritis affecting the knee, ankle, and wrist.
  • Radiologic findings show periarticular swelling, osteoporosis, erosions, and periosteal reaction in acute cases, progressing to osseous sclerosis, joint deformity, persistent soft tissue swelling, or premature fusion of ossification centers in chronic stages.

    • Conclusions:

    • Pinemoth caterpillar disease presents with a distinct set of systemic and localized symptoms, notably arthritis.
    • Radiographic evidence is crucial for differentiating acute and chronic phases of the disease, aiding in diagnosis and management.