How do bed flea bites on a human look?

How do bed flea bites on a human look? - briefly

«Bed flea bites appear as tiny, red, raised papules, often arranged in a line or cluster, each centered by a minute puncture point». They are usually pruritic and may develop a subtle halo of surrounding inflammation.

How do bed flea bites on a human look? - in detail

Bed flea bites appear as small, raised papules typically ranging from 1 to 3 mm in diameter. The central area often shows a pale or reddish halo, while the surrounding skin may be slightly erythematous. Itching is common, beginning within minutes and intensifying over several hours. Lesions usually develop in clusters of two to six punctures, reflecting the flea’s feeding pattern of multiple quick bites in close proximity.

Key characteristics include:

  • Location: most frequent on exposed skin such as arms, legs, neck, and face; occasionally on trunk if clothing is removed during sleep.
  • Arrangement: linear or zig‑zag pattern following the flea’s movement across the host.
  • Evolution: papules may swell to a wheal within 24 hours, then flatten and fade over 5–10 days, leaving possible hyperpigmentation.
  • Sensation: immediate pruritus, sometimes accompanied by a mild burning sensation.
  • Secondary signs: scratching can lead to excoriation, risk of bacterial infection, or localized swelling.

Distinguishing features from other arthropod bites:

  • Bed fleas leave multiple puncture marks close together, unlike solitary mosquito bites.
  • Unlike bed‑bug bites, which often present as larger, irregular welts with a central dark spot, flea bites lack a distinct central punctum.
  • The rapid onset of itching differentiates them from spider bites, which may have delayed pain.

Management focuses on symptomatic relief: antihistamine creams, topical corticosteroids, and avoidance of scratching. Persistent or infected lesions require medical evaluation.