Exposure to insects or to their remains may range in severity from benign or barely noticeable to life-threatening conditions. The morphology of the cutaneous lesions may vary from several-millimeter asymptomatic noninflammatory lesions to large irritant dermatitis lesions, depending on the severity and the insects involved. A 3-year-old child presented with asymptomatic brownish patches on the bilateral soles persistent for a day. The mother gave a history of a visit to a temple and the onset of the lesions after the visit. A detailed examination reached the diagnosis of Cydnidae pigmentation. One of the benign conditions caused by the “burrowing bug” is Cydnidae pigmentation. As the lesions usually involve the acral areas, it has to be differentiated from other pigmented conditions, such as acral melanomas, lentigines, petechiae, and chemical/dye-induced pigmentations.
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