Within the past year I have observed 2 patients, both female, age 2, with localized urticaria of the buttocks of 2 weeks' duration, associated with infestation with Enterobius vermicularis. I have not previously seen this, nor have I seen any reports from my colleagues with a condition such as both of these children showed.
Both of these children presented themselves with urticaria of the buttocks only. The individual urticarial lesions were slightly different from the usual in that there was observed, surrounding each individual lesion, a definite pale blanching of the adjacent skin.
Cellophane tape (Scotch Tape) examination of the anal areas in both children revealed multiple ova of Enterobius vermicularis. Both of these children received a one-week course of piperazine hexahydrate as the only form of therapy. I examined both children at the end of 2 weeks following a one-week course of the piperazine hexahydrate with complete clearing of
CLARK RF. Localized Urticaria Due to Enterobius Vermicularis. Arch Dermatol. 1961;84(6):1026. doi:10.1001/archderm.1961.01580180142023