Painful violaceous pigmentation, a clinical challenge and diagnostic approach in a tropical country

Millipedes are not considered poisonous animals, although in some cases their chemical defense mechanisms may be deleterious for human beings, manifesting as erythematous, purpuric and/ or cyanotic lesions alongside local pain and paresthesia. According to the exposure, the clinical condition may pr...

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Detalles Bibliográficos
Autores: Rojas-Gómez, Oscar Fabián, Delgado-Ortiz, Natalia, Zamora-Suarez, Adriana, Mondragón-Cardona, Álvaro Eduardo, Escobar-Montealegre, Freddy, Jiménez-Canizales, Carlos Eduardo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Perú
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Idioma:inglés
OAI Identifier:oai:amp.cmp.org.pe:article/2307
Acceso en línea:https://amp.cmp.org.pe/index.php/AMP/article/view/2307
Access Level:acceso abierto
Palabra clave:Venenos de Artrópodos
Benzoquinonas
Hiperpigmentación
Eritema
Colombia
Arthropod Venoms
Benzoquinones
Hyperpigmentation
Erythema
Descripción
Sumario:Millipedes are not considered poisonous animals, although in some cases their chemical defense mechanisms may be deleterious for human beings, manifesting as erythematous, purpuric and/ or cyanotic lesions alongside local pain and paresthesia. According to the exposure, the clinical condition may progress to moderate and severe lesions such as ulcers and blisters. We describe a case of a male child from the Andean region in Colombia, an area with daily temperatures between 15° and 30° C and 72% average humidity. The boy accidentally stepped on a millipede, and this occurrence became a challenge for its diagnosis amongst staff who provided emergency health care.