We present a 5-year-old girl who accidentally crushed an insect of the coleoptera family walking barefoot and secondarily developed an exogenous acral pigmentation. The lesions resolved spontaneously within a few weeks. Proper identification of the insect and a detailed physical examination were key to avoiding unnecessary invasive diagnostic tests.

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http://dx.doi.org/10.1111/pde.14856DOI Listing

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We present a 5-year-old girl who accidentally crushed an insect of the coleoptera family walking barefoot and secondarily developed an exogenous acral pigmentation. The lesions resolved spontaneously within a few weeks. Proper identification of the insect and a detailed physical examination were key to avoiding unnecessary invasive diagnostic tests.

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