Author Affiliations: Department of Dermatology, Yeouido St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea (Drs Lee, Cho, and Park); Chilgok Catholic Hospital (Dr Jun) and Department of Dermatology, Kyungpook National University of Medicine (Dr Kim), Daegu, South Korea.
An 81-year-old woman presented with a 2-week history of multiple pruritic papules. The lesions were located on her lower abdomen and both popliteal areas (Figure 1A). She had no systemic complaints. The patient had grown vegetables on a hill near her village for several months. On close inspection, minute brown organisms were observed at the center of each papule (Figure 1A, inset). A punch biopsy was performed on an abdominal lesion, and all other arachnids were removed by forceps.
Lee YB, Jun JB, Kim JY, Cho BK, Park HJ. Multiple Bites From the Larvae of Haemaphysalis longicornis. Arch Dermatol. 2011;147(11):1333-1334. doi:10.1001/archdermatol.2011.328