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Clinical aspects, diagnosis and management of Loxosceles spider envenomation: literature and case review.
Lopes, Priscila Hess; Squaiella-Baptistão, Carla Cristina; Marques, Mário Octávio Thá; Tambourgi, Denise V.
Afiliação
  • Lopes PH; Laboratório de Imunoquímica, Instituto Butantan, Av. Vital Brazil, 1500, São Paulo, SP, 05503-900, Brazil.
  • Squaiella-Baptistão CC; Laboratório de Imunoquímica, Instituto Butantan, Av. Vital Brazil, 1500, São Paulo, SP, 05503-900, Brazil.
  • Marques MOT; Departamento de Clínica Médica, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
  • Tambourgi DV; Laboratório de Imunoquímica, Instituto Butantan, Av. Vital Brazil, 1500, São Paulo, SP, 05503-900, Brazil. denise.tambourgi@butantan.gov.br.
Arch Toxicol ; 94(5): 1461-1477, 2020 05.
Article em En | MEDLINE | ID: mdl-32232511
The genus Loxosceles comprises 140 species widely distributed around the world. These spiders are nocturnal, sedentary and remarkably nonaggressive, although they cause accidents in humans with wide degrees of severity, generating signs and symptoms that define the clinical condition known as loxoscelism. Its local signs and symptoms were first reported in 1872, and over the years, a large medical literature has been accumulated; unfortunately, it is not always trustworthy. Assessing the reliability of such information, we reviewed 120 case reports of loxoscelism published in 84 articles over the past 20 years. This search allowed us to gather information on the clinical aspects, diagnosis and treatment of loxoscelism, showing that the severity of these accidents has multiple degrees and that it is influenced by many factors. Thus, coupled with epidemiological and species occurrence information, this study can be a useful tool for the clinical practice of loxoscelism. It may support and provide a multidisciplinary view that should be taken into consideration when establishing the therapeutic approach in cases of Loxosceles envenomation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Picada de Aranha / Aranhas Tipo de estudo: Diagnostic_studies Limite: Animals / Humans Idioma: En Revista: Arch Toxicol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Picada de Aranha / Aranhas Tipo de estudo: Diagnostic_studies Limite: Animals / Humans Idioma: En Revista: Arch Toxicol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha