Abstract

ROJAS-GOMEZ, Oscar Fabián et al. Painful violaceous pigmentation, a clinical challenge and diagnostic approach in a tropical country. Acta méd. Peru [online]. 2022, vol.39, n.2, pp.190-192.  Epub Aug 17, 2022. ISSN 1728-5917.  http://dx.doi.org/10.35663/amp.2022.392.2307.

Millipedes are not considered poisonous animals, although in some cases their chemical defense mechanisms may be deleterious for human beings, manifesting as erythematous, purpuric and/ or cyanotic lesions alongside local pain and paresthesia. According to the exposure, the clinical condition may progress to moderate and severe lesions such as ulcers and blisters. We describe a case of a male child from the Andean region in Colombia, an area with daily temperatures between 15° and 30° C and 72% average humidity. The boy accidentally stepped on a millipede, and this occurrence became a challenge for its diagnosis amongst staff who provided emergency health care.

Keywords : Arthropod Venoms; Benzoquinones; Hyperpigmentation; Erythema; Colombia.

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