Initially, these contractions are of a high frequency and low amplitude, which will gradually progress to decreased frequency and high amplitude. An eventual decrease in contraction amplitude just before seizure cessation is also typical.Postictal phaseThe postictal phase causes are multifactorial to include alteration of cerebral blood flow and effects on multiple neurotransmitters. These changes after a generalized tonic–clonic seizure cause a period of postictal sleep with stertorous breathing. Confusion and total amnesia upon regaining consciousness are also usually experienced and slowly wear off as the patient becomes gradually aware that a seizure occurred and remembers their identity and location. Most often, patients regain consciousness within 30 minutes. Rarely, impaired consciousness duration can last several hours after a seizure, especially with a compounding central nervous system condition or a prolonged seizure. Occasionally the patient may vomit or burst into tears from the experienced mental trauma. An additional smaller seizure can also occur several minutes after the main seizure, particularly if the patients seizure threshold has been brought unusually low by known factors or combinations of such. Examples include: severe hangovers, sleep deprivation, elevated estrogen at ovulation, prolonged physical tiredness, and drug use or abuse (including, but not limited to, stimulants, alcohol and caffeine). Rarely, the respiration is inhibited during the postictal phase, leading to sudden unexpected death in epilepsy (SUDEP). Generalized tonic–clonic seizures represent the most important risk factor for SUDEP, especially in patients with nocturnal seizures, who are living alone or do not share a bedroom.
Lepidopterism is an irritant contact dermatitis caused by irritating caterpillar or moth hairs coming into contact with the skin or mucosa. When referring to the cause, moth dermatitis and caterpillar dermatitis are commonly used; Caripito itch (known as papillonite in French) is an older name referring to the moth dermatitis caused by some Hylesia species. See also
Millipede burn
List of cutaneous conditions

References
Further reading
Hossler EW (2009). "Caterpillars and moths". Dermatol Ther. 22 (4): 353–66. doi:10.1111/j.1529-8019.2009.01247.x. PMID 19580579. S2CID 31799282. Hossler EW (January 2010). "Caterpillars and moths: Part II. Dermatologic manifestations of encounters with Lepidoptera". J. Am. Acad. Dermatol. 62 (1): 13–28, quiz 29–30. doi:10.1016/j.jaad.2009.08.061. PMID 20082887. Hossler EW (January 2010). "Caterpillars and moths: Part I. Dermatologic manifestations of encounters with Lepidoptera". J. Am. Acad. Dermatol. 62 (1): 1–10, quiz 11–2. doi:10.1016/j.jaad.2009.08.060. PMID 20082886. Katzenellenbogen, I. (1955). "Caterpillar Dermatitis as an Occupational Disease". Dermatologica. 111 (2): 99–106. doi:10.1159/000256344. PMID 13277355. Werno, J.; Lesthelle, S.; Doerman, F.; Vincendeau, P. (2002). "Envenimations par les lépidoptères". Revue Française des Laboratoires. 2002 (342): 35. doi:10.1016/S0338-9898(02)80059-2. External links
Caterpillar envenomation on eMedicine