Cutaneous Loxoscelism On 5 Moroccan Cases
Journal Title: Journal of Dermatology Research - Year 2023, Vol 4, Issue 2
Abstract
Introduction: Loxoscelism is an under-diagnosed condition due to lack of awareness among practitioners. It is a serious form of araneism that can be strictly cutaneous with variable clinical aspects that can be deadly. Materials and methods: Five cases were collected over a period of 3 years presenting with envenomation by a supposed spider bite highly suggestive of cutaneous loxoscelism. Results: We collected five cases of post-spider bite envenomation with an average age of 45 years, predominantly female, of rural origin. The bite occurred in the summer in all cases. The average time to consultation was 2 days. Four patients had felt and located the spider nearby. Two patients had an erysipéloïde placard centred by a necrotic ulceration, while one had post-bite erythema multiforme, one had acute exanthematous pustulosis and one had acute urticaria. Biological tests were normal in all cases. Antihistamines and dermocorticoids were prescribed. Discussion: This type of envenomation is common in the summer months and in rural areas, with a clear female predominance. It is generally induced by the venom of spiders of the sicariidae family and of the Loxosceles genus. The diagnosis is based on a combination of epidemiological, clinical and biological evidence. Conclusion: Envenomation by spider bites has been little reported in Morocco until now. This rare cause of necrosis, skin rash deserves to be known by practitioners for an adequate management.
Authors and Affiliations
Sokaina Chhiti, Sara Elloudi, Fatima Zahra Hashas, Zakia Douhi, Meryem Soughi, Hanane Baybay, Fatima Zahra Mernissi
Keywords
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- EP ID EP716896
- DOI https://doi.org/10.46889/JDR.2023.4202
- Views 65
- Downloads 0
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