Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral

Background: Loxoscelism is an important public health problem in Chile and South America, due to the higher rate of cutaneous-visceral involvement. The diagnosis of loxoscelism is mostly clinical without established diagnostic criteria. There is little evidence to support any treatment used in this...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Droppelmann,Katherine, Majluf-Cáceres,Paula, Sabatini-Ugarte,Natalia, Valle,Elizabeth, Herrera,Hernán, Acuña,David
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Brown Recluse Spider Spider Bites Spider Venoms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500682
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872021000500682
record_format	dspace
spelling	oai:scielo:S0034-988720210005006822021-11-03Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceralDroppelmann,KatherineMajluf-Cáceres,PaulaSabatini-Ugarte,NataliaValle,ElizabethHerrera,HernánAcuña,David Brown Recluse Spider Spider Bites Spider Venoms Background: Loxoscelism is an important public health problem in Chile and South America, due to the higher rate of cutaneous-visceral involvement. The diagnosis of loxoscelism is mostly clinical without established diagnostic criteria. There is little evidence to support any treatment used in this condition. Aim: To characterize the clinical features and epidemiology of loxoscelism among patients consulting at the Emergency and Dermatology Services of a clinical hospital between 2013 and 2017. Material and Methods: Review of medical records of patients registered in the electronic clinical record system with a confirmed diagnosis of loxoscelism. Epidemiological, clinical, laboratory tests and treatment variables were analyzed. Results: We reviewed data from 200 patients. Ninety-four percent presented cutaneous loxoscelism and 5.5% cutaneous-visceral loxoscelism. Systemic symptoms were present in 73% of patients with cutaneous-visceral loxoscelism. Patients who developed systemic symptoms had an 18 times higher risk of developing cutaneous-visceral loxoscelism. Laboratory abnormalities were more common in patients with cutaneous-visceral loxoscelism. Not all patients with hematuria had cutaneous-visceral loxoscelism. Most patients required analgesia. Anti-loxosceles serum was not used in any patient. Conclusions: Many questions remain to be answered regarding the diagnosis and treatment of the disease. Studies are required to validate diagnostic criteria for loxoscelism, predictors for visceral involvement and response to treatment.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.5 20212021-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500682es10.4067/s0034-98872021000500682
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Brown Recluse Spider Spider Bites Spider Venoms
spellingShingle	Brown Recluse Spider Spider Bites Spider Venoms Droppelmann,Katherine Majluf-Cáceres,Paula Sabatini-Ugarte,Natalia Valle,Elizabeth Herrera,Hernán Acuña,David Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
description	Background: Loxoscelism is an important public health problem in Chile and South America, due to the higher rate of cutaneous-visceral involvement. The diagnosis of loxoscelism is mostly clinical without established diagnostic criteria. There is little evidence to support any treatment used in this condition. Aim: To characterize the clinical features and epidemiology of loxoscelism among patients consulting at the Emergency and Dermatology Services of a clinical hospital between 2013 and 2017. Material and Methods: Review of medical records of patients registered in the electronic clinical record system with a confirmed diagnosis of loxoscelism. Epidemiological, clinical, laboratory tests and treatment variables were analyzed. Results: We reviewed data from 200 patients. Ninety-four percent presented cutaneous loxoscelism and 5.5% cutaneous-visceral loxoscelism. Systemic symptoms were present in 73% of patients with cutaneous-visceral loxoscelism. Patients who developed systemic symptoms had an 18 times higher risk of developing cutaneous-visceral loxoscelism. Laboratory abnormalities were more common in patients with cutaneous-visceral loxoscelism. Not all patients with hematuria had cutaneous-visceral loxoscelism. Most patients required analgesia. Anti-loxosceles serum was not used in any patient. Conclusions: Many questions remain to be answered regarding the diagnosis and treatment of the disease. Studies are required to validate diagnostic criteria for loxoscelism, predictors for visceral involvement and response to treatment.
author	Droppelmann,Katherine Majluf-Cáceres,Paula Sabatini-Ugarte,Natalia Valle,Elizabeth Herrera,Hernán Acuña,David
author_facet	Droppelmann,Katherine Majluf-Cáceres,Paula Sabatini-Ugarte,Natalia Valle,Elizabeth Herrera,Hernán Acuña,David
author_sort	Droppelmann,Katherine
title	Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
title_short	Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
title_full	Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
title_fullStr	Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
title_full_unstemmed	Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
title_sort	caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500682
work_keys_str_mv	AT droppelmannkatherine caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral AT majlufcacerespaula caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral AT sabatiniugartenatalia caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral AT valleelizabeth caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral AT herrerahernan caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral AT acunadavid caracterizacionclinicayepidemiologicade200pacientesconloxoscelismocutaneoycutaneovisceral
_version_	1718437202728321024

Caracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral

Ejemplares similares