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DIEGO BONILLA
DIEGO BONILLA, Doctor
Category: Dermatology
Satisfied Customers: 259
Experience:  Pulmonary/ Critical Care at Boston University
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My boyfriend is trying to figure out what type of bite he

Customer Question

My boyfriend is trying to figure out what type of bite he has.
Submitted: 5 months ago.
Category: Dermatology
Expert:  DIEGO BONILLA replied 5 months ago.

Hello

This is Dr. Diego, experienced in Internal Medicine, Pulmonary and Critical Care.

What is your question? Do you have a picture of the bite?

Customer: replied 5 months ago.
hold on one second
Customer: replied 5 months ago.
I just sent the pic can you see it
Customer: replied 5 months ago.
do you need more information?
Expert:  DIEGO BONILLA replied 5 months ago.

Thanks for the picture. Where did he get the bite? It's the are itchy? Any new furniture or hotels?

Customer: replied 5 months ago.
they are itchy; was on vacation
Customer: replied 5 months ago.
no new furniture
Customer: replied 5 months ago.
was at hotels; but checked hotel thoroughly for bed bugs
Expert:  DIEGO BONILLA replied 5 months ago.

Where did he go on vacation? Tropical areas?

Customer: replied 5 months ago.
He was in the desert area; like arizona grand canyon. do you have any ideas what is it
Expert:  DIEGO BONILLA replied 5 months ago.

The characteristics of the lesions could be from insect bite including mosquitos, bed bugs and ants. Given the localization of the lesion is likely to be a mosquito. Is any other area of the body involved?

Customer: replied 5 months ago.
no just in that area of the picture; no other area on the body
Customer: replied 5 months ago.
do you think it can be from heat and sweat or do you think its a mosquito bite?
Expert:  DIEGO BONILLA replied 5 months ago.

In that case a mosquito bite is the most likely cause. It's unlikely to be from heat and sweat specially if is only in a specific area. Sometimes fungal infections can present like this. Let me know if you have any other question.

Customer: replied 5 months ago.
you think its just a mosquito bite? and no other type of bite? or if its fungal how can we tell
Expert:  DIEGO BONILLA replied 5 months ago.

Yes I think is likely to be a mosquito bite. Bed bugs usually cause lesions in different parts of the body. Fungal infections trend to get worse with time.

Customer: replied 5 months ago.
Ok so you dont think its bed bugs
Expert:  DIEGO BONILLA replied 5 months ago.

It's possible but unlikely because is only in one area of the body.

Customer: replied 5 months ago.
if it was bed bugs there would be bites all over the body? sorry I am just concerned. Do you think it could be chigger bites or ants
Expert:  DIEGO BONILLA replied 5 months ago.

Bed bugs produce more local inflammation and they have an anticoagulant that causes the skin to show dots of blood on the affected area. Ants could cause this lesion too but mosquito bites are by far more common.

Customer: replied 5 months ago.
heres my quesition if you had to diagnose this what would you think?
Expert:  DIEGO BONILLA replied 5 months ago.

It's likely to be a mosquito bite. Please rate my answer

Customer: replied 5 months ago.
ok he says it doesn't appear to be like a mosquito bite like he usually gets though?
Expert:  DIEGO BONILLA replied 5 months ago.

I already mentioned that this could be secondary to other kind of insect bites like ants and bed bugs. The differential for this kind of lesion is broad but under your specific circumstances other things to consider are drug eruption and allergic rash. With all the information you gave me, those are the possibilities. Please rate my answer

Customer: replied 5 months ago.
alright thanks for your help is there anything we should do
Expert:  DIEGO BONILLA replied 5 months ago.

He can apply a hydrocortisone cream if the lesions are itchy. If the lesions get worse or don't improve in 5-7 days he should check with his PCP.

Customer: replied 5 months ago.
keratosis pilaris is there any cure for that if thats what it is?
Expert:  DIEGO BONILLA replied 5 months ago.

Is an atypical skin problem. It usually solves by itself. The picture you sent me doesn't look like keratosis pilaris. Please rate my answer. Thank you.

Customer: replied 5 months ago.
thank you
Expert:  DIEGO BONILLA replied 5 months ago.

Please rate my answer on the link.