When the itch is worse than the bite

It represents a local hypersensitivity reaction to the saliva or mouth parts of the biting insect.

If mainly on the lower legs, then sand flies or house fleas are the likeliest cause. If on the trunk, consider bed bugs or animal fleas from a pet.

Patients will say their sleeping partner is not affected and no-one else in the household has bites. The people you see are those who have had an allergic reaction to the bite.

It is often