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Hossler EW – Lepidoptera (moths, butterflies, and caterpillars) are an uncommon cause of adverse reactions in humans. Most reactions to Lepidoptera are mild and self–limited; however, reactions in sensitive individuals and reactions to particular species can be severe and life threatening. In most cases, reactions to Lepidoptera can be treated symptomatically with prompt removal of offending hairs. Antipruritic or anesthetic topical preparations, topical steroids, and oral antihistamines are often used.

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