Artigo Acesso aberto Produção Nacional Revisado por pares

Acute generalized exanthematous pustulosis associated with spider bite

2016; Elsevier BV; Volume: 91; Issue: 4 Linguagem: Inglês

10.1590/abd1806-4841.20164045

ISSN

1806-4841

Autores

Laura de Mattos Milman, Giana Paula Müller, Paulo Ricardo Martins Souza, Aline Barcellos Grill, Deise Louise Bohn Rhoden, Carlos Augusto Mello-da-Silva, Gérson Vettorato,

Tópico(s)

Contact Dermatitis and Allergies

Resumo

Acute generalized exanthematous pustulosis (AGEP) is an acute febrile rash, usually induced by drugs, which recently has been linked to spider bite. We report a case of a male patient, 48 years old, with an erythematous rash accompanied by fever and small non-follicular pustules. He reported previous pain in the buttock with the onset of a necrotic plaque. The lesion was compatible with spider bite of the genus Loxosceles. According to the EuroSCAR group instrument, the patient scored +10 indicating definite diagnosis of AGEP. As the patient had a compatible lesion and had no other triggers of AGEP, in an Loxosceles endemic area, the AGEP would be associated with spider bite, as described in other publications.

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