2025, Number 1
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Arch Med Urg Mex 2025; 17 (1)
Cutaneous loxoscelism in the emergency department: Diagnosis and therapeutic strategies
Jiménez-Flores I, Arredondo-Armenta JM, López-Salinas KG, Arango-Mathieu MD, García-Fierro LA, Hernández-Basulto R
Language: Spanish
References: 26
Page: 39-44
PDF size: 459.88 Kb.
ABSTRACT
Loxoscelism, the medical condition resulting from the bite of
spiders of the genus Loxosceles spp, represents a diagnostic
challenge due to the lack of specific tests in our country and
the variability in clinical presentation, ranging from localized pain
and necrosis to systemic complications. This article proposes
3 tools to establish the diagnosis: The Rader criteria, the NOT
RECLUSE mnemonic and the clinical progression. Regarding
treatment, although there is still no international consensus, it
is important not to neglect general wound care, anti-tetanus prophylaxis
and even more important the early use of antivenom
(faboterapeutic).
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