Author: Erik Rakhimov / Editor: Fiona Mendes / Codes: IC3, SLO1Published: 15/11/2023

A 35-year-old female presents to the Emergency department (ED) with a rash over her left arm.  She thinks her rash is due to bed bugs that she may have picked up during her recent trip to Paris. The rash is very itchy and appears in a straight line. She reports some swelling around the rash with a few raised bumps as shown in the image below.   

She is very distressed and has been scratching it a lot.  Her sleep is now disrupted and the itching causes her anxiety. She is apyrexial, with all normal observations.

Fig.11