RT Book, Section A1 Zafren, Ken A1 Thurman, R. Jason A1 Jones, Ian D. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181051036 T1 Skeeter Syndrome T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181051036 RD 2024/11/08 AB Skeeter syndrome is not an envenomation. It is an allergic reaction to polypeptides in mosquito saliva. Widespread inflammation may mimic cellulitis. Initially characterized by erythema, pruritis, and warmth, the rash becomes swollen within hours. Papules, vesicles, and bullae may develop in 8 to 12 hours. Because salivary peptides vary among species, individuals may be allergic to some species of mosquitos but not others.