ABSTRACT
Bites from the adder, Vipera berus, are well known for causing local and general toxicity. We report a case of a 63-year-old female who was bitten in one of her lower extremities. She was seen twice in the emergency department with symptoms and signs consistent with severe envenomation. Despite treatment with antihistamines and corticosteroids the oedema persisted. A lymphoscintigraphy was performed showing dermal backflow in the right leg, confirming the diagnosis of lymphoedema. Based on the present case report and review of the literature antivenom therapy should be considered more actively.
Subject(s)
Lymphedema/chemically induced , Viper Venoms/adverse effects , Animals , Antivenins/administration & dosage , Antivenins/therapeutic use , Female , Humans , Lymphedema/diagnostic imaging , Lymphoscintigraphy , Middle Aged , Snake Bites/complications , Snake Bites/therapy , Stockings, Compression , ViperidaeABSTRACT
A clinical case of the rare disorder steatocystoma multiplex is described in a 39-year-old female. The patient was diagnosed with generalized intradermal lesions that started presenting in early adulthood. There was no family history of similar lesions.Skin examination showed multiple, skin-coloured cystic lesions on the chest, abdomen, axillae and back. The patient's clinical presentations and history were compatible with steatocystoma multiplex. Various treatment options for steatocystoma multiplex and steatocystoma multiplex suppurativum have been published and include oral antibiotics, isotretinoin, excision and incision techniques.
