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Ask An Entomologist @BugQuestions
, 4 tweets, 1 min read Read on Twitter
I think this problem hits at the heart of the issue when it comes to Eckbom's, because it's often not about infestations.

This deserves it's own thread to describe how complicated this problem is, and how poorly understood it is.
So...first, I believe that these people are accurately describing their perceptions of medical issues.

Urban IPM Extension people can go through samples to find insects, inspect homes for infestations (bed bugs, fleas, etc), get someone to do skin scrapings for Scabies, etc.
However, after that, they need to be passed onto a doctor.

Often times, attempts at self-treatment can cause skin irritation. Pesticide poisoning can also cause crawling sensations.

Brain tumors, autoimmune diseases, even cold weather can do this as well.
There may also be environmental causes, such as Sick Building Syndrome.

en.wikipedia.org/wiki/Sick_buil…

There's really no way to know for any specific case, and entomologists can't diagnose most of the causes of Eckbom's symptoms.

It's an incredibly complicated web.
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