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The Running Doc: How to avoid, treat mosquito bites

The Running Doc: How to avoid, treat mosquito bites

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Runners should wear protective clothing and use repellent to prevent mosquito bites.James Gathany, Centers for Disea

Runners should wear protective clothing and use repellent to prevent mosquito bites.

Dear Running Doc:

Doc, please settle an argument. Every time I get a mosquito bite I get a very large bump (without scratching, so it is not an infection) and a fever. It is VERY uncomfortable. I think I am allergic to these things; my husband says it is a “normal” reaction to the bite but I think it is an allergy. Who is right? – Nicki T., Miami Beach, FL.

Thanks for the question,Nicki. Every year around this time when people are on warm weather vacations this question comes up — particularly from runners who spend lots of time running on trails. Time for the answer…

You are correct!

While a natural reaction to a mosquito bite is a small bump and itching, there is an “allergy” described in the medical literature to mosquito bites. It is called “Skeeter Syndrome.” Hallmarks are fever and extreme inflammation around the bite: redness, swelling, and of course itching. I have even seen patients with one bite causing multiple red blotches all over their body. You can go to an allergist for a scratch test for mosquito bite allergy to confirm your allergy.

Prevention is obvious: stay away from the critters! Wear protective clothing (long sleeves, long pants) whenever possible, and use an insect repellent with DEET in it. Do not scratch the bite — as you note, doing so can cause an infection on top of the natural inflammation of the bite.

Treatment is usually with a cream like hydrocortisone or Caladryl lotion directly on the bite. Systemic medications like Benadryl, Zyrtec, or Claritin have also calmed down allergic reaction to bites.

If any of my readers have some home remedies for these bites, please write in for Joanna. I am sure she would like to see them.

I hope this helps.

Enjoy the ride.

Lewis G. Maharam, MD, FACSM is one of the world’s most extensively credentialed and well-known sports health experts. Better known as Running Doc™, Maharam is author of Running Doc’s Guide to Healthy Running and past medical director of the NYC Marathon and Rock ‘n’ Roll Marathon series. He is Medical Director of the Leukemia & Lymphoma Society’s Team in Training program. He is also past president of the New York Chapter of the American College of Sports Medicine. Learn more at runningdoc.com.

Want your question answered in this column? Write to running doc at running doc@nydailynews.comor write your questions or comments in the comments section below.

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