Loxoscelismo cutáneo: revisión narrativa de un problema actual / Cutaneous loxoscelism: narrative review of a current problem
Rev. méd. Maule
;
28(2): 82-87, dic. 2012. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-679621
ABSTRACT
The endemic presence of Loxosceles laeta species in Chile determines a constant validity of loxoscelism in clinical practice. Among their clinical scope, cutaneous loxoscelismis the most common presentation and it usually requires surgical management. The objective of this article is to review basic knowledge, epidemiologic data, clinical and therapeutic knowledge and advances in this disease based on the available evidence. Evidence does not support the routinary use of any pharmacological agent in cutaneous loxoscelism. General therapeutic measures, adequate analgesia, the delimitation of thedermonecrotic area and in cases if needed a conservative surgical approach are recommended. The use of antibiotics should be restricted to cases of concomitant infection. Emphasis should be on prevention of these injuries, stressing the importance of early consultation in the emergency service, and monitoring for signs and symptoms of the systemic compromise. A conservative surgical approach minimizes unnecessary morbidity.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Picada de Aranha
/
Dermatopatias
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Maule
Assunto da revista:
Medicina
Ano de publicação:
2012
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Regional de Talca/CL
/
Pontificia Universidad Católica de Chile/CL
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