Cutaneous loxoscelism mainly edematous, a case report Loxoscelismo cutáneo predominantemente edematoso, a propósito de un caso
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2015Metadata
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Barra, Paula de la
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Cutaneous loxoscelism mainly edematous, a case report Loxoscelismo cutáneo predominantemente edematoso, a propósito de un caso
Abstract
In Chile, loxoscelism is caused by the bite of the Loxosceles laeta spider. The clinical presentation has two different forms: cutaneous loxoscelism (CL) and vicero-cutaneous loxoscelism, which is less frequent. Cutaneous loxoscelism includes an uncommon clinical variation (4%), called CL with edematous predominance (CLEP). We present a 5-year-old patient with sudden pain and edema on his right eyelid associated with fever, which progressed rapidly involving the right hemifacial area, frontal region, and left eyelid. Angioedema and pre-orbital cellulitis were discarded and CLEP was suspect. Cutaneous loxoscelism with an edematous predominance is self-limited, benign and with little or no necrotic injury due to the edema, which dilutes the toxin-induced enzymatic process causing necrosis. As in the reported cases it usually responds well to medical treatment and does not cause visceral involvement.
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URI: https://repositorio.uchile.cl/handle/2250/166669
DOI: 10.4067/S0716-10182015000500017
ISSN: 07161018
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Revista Chilena de Infectologia, Volumen 32, Issue 4, 2018, Pages 467-471
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