Acute generalized exanthematous pustulosis associated with spider bite

作者：Milman Laura de Mattos^*; Mueller Giana Paula; Martins Souza Paulo Ricardo; Grill Aline Barcellos; Bohn Rhoden Deise Louise; Mello da Silva Carlos Augusto; Vettorato Gerson

来源：Anais Brasileiros de Dermatologia, 2016, 91(4): 524-527.

DOI：10.1590/abd1806-4841.20164045

• Acute generalized exanthematous pustulosis
• Arachnid vectors
• Spider venoms

Acute generalized exanthematous pustulosis (AGEP) is an acute febrile rash, usually induced by drugs, which recently has been linked to spider bite. We report a case of a male patient, 48 years old, with an erythematous rash accompanied by fever and small non-follicular pustules. He reported previous pain in the buttock with the onset of a necrotic plaque. The lesion was compatible with spider bite of the genus Loxosceles. According to the EuroSCAR group instrument, the patient scored + 10 indicating definite diagnosis of AGEP. As the patient had a compatible lesion and had no other triggers of AGEP, in an Loxosceles endemic area, the AGEP would be associated with spider bite, as described in other publications.

• 出版日期2016-8