Loxoscelism. experience in 200 patients

dc.catalogadoryvc
dc.contributor.authorDroppelmann Droppelmann, Katherine Ann
dc.contributor.authorMajluf Cáceres, Paula
dc.contributor.authorSabatini Ugarte, Natalia
dc.contributor.authorValle, Elizabeth
dc.contributor.authorHerrera, Hernán
dc.contributor.authorAcuña Ramírez, David
dc.date.accessioned2024-01-19T14:06:45Z
dc.date.available2024-01-19T14:06:45Z
dc.date.issued2021
dc.description.abstractBackground: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.
dc.fechaingreso.objetodigital2024-04-12
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872021000500682
dc.identifier.issn0034-9887
dc.identifier.urihttp://doi.org/10.4067/s0034-98872021000500682
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80632
dc.information.autorucEscuela de Medicina; Droppelmann, Katherine; S/I; 151172
dc.information.autorucEscuela de Medicina; Acuña Ramírez, David; 0000-0002-7858-2755; 141631
dc.issue.numero5
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final688
dc.pagina.inicio682
dc.revistaRevista médica de Chile
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 DEED Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.en
dc.subjectBrown Recluse Spider
dc.subjectSpider Bites
dc.subjectSpider Venoms
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleLoxoscelism. experience in 200 patients
dc.titleCaracterización clínica y epidemiológica de 200 pacientes con loxoscelismo cutáneo y cutáneo visceral
dc.title.alternativeLoxoscelism. experience in 200 patients
dc.typeartículo
dc.volumen149
sipa.codpersvinculados151172
sipa.codpersvinculados141631
sipa.trazabilidadORCID;2024-01-08
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Loxoscelism experiencie in 200.pdf
Size:
195.49 KB
Format:
Adobe Portable Document Format
Description: