medigraphic.com
SPANISH

Dermatología Cosmética, Médica y Quirúrgica

Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2026, Number 2

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2026; 24 (2)

Successful recovery in a patient with a facial lesion caused by loxoscelism managed with a collagen dressing

Sánchez-Olivo Natalia, Correa-Cedeño Karla-Gabriela Martínez-Jiménez Mario-Aurelio
Full text How to cite this article

Language: Spanish
References: 14
Page: 306-309
PDF size: 278.64 Kb.


Key words:

spider bite, Loxosceles, necrotic eschar, collagen dressing, autologous graft.

ABSTRACT

The bite of a Loxosceles (violin spider) can cause a range of clinical manifestations, from mild to severe, with cutaneous and systemic forms being recognized. In cutaneous loxoscelism, the lesion is usually benign and self-limiting; however, it can progress to severe ulcerative necrosis. We present the case of a 10-year-old boy who developed a necrotic lesion on his right cheek secondary to a Loxosceles spider bite. He was referred for treatment, which included escharectomy, collagen dressings, and autologous grafting, resulting in improvement of the condition within the first 30 days after the intervention. The use of collagen dressings as an adjuvant treatment for wounds promotes an appropriate environment for tissue regeneration. When combined with autologous grafting, they may accelerate healing and lead to favorable clinical outcomes.


REFERENCES

  1. Anoka IA, Robb EL, Baker MB. Brown Recluse Spider Toxicity.[Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island(FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537045/

  2. Abdelazeem B, Eurick-Bering K, Ayad S, Malik B, Kalynych Z.A case report of brown recluse spider bite. Cureus. 2021;13(7):e16663.

  3. Martínez-Ortiz D, Torres-Castro M, Arisqueta-Chablé C,Salceda-Sánchez B, Huerta H, Palacio-Vargas J, et al. Firstrecord of a case of cutaneous loxoscelism caused by violinspider (Loxosceles yucatana) bite in Yucatan, Mexico. Rev PeruMed Exp Salud Publica. 2022; 39(4): 489-494.

  4. Droppelmann K, Majluf-Cáceres P, Sabatini-Ugarte N, Valle E,Herrera H, Acuña D. Loxoscelism. Experience in 200 patients.Rev Med Chil. 202;149(5): 682-688.

  5. Alberts A, Bratu AG, Niculescu AG, Grumezescu AM.Collagen-based wound dressings: Innovations, mechanisms,and clinical applications. Gels. 2025; 11(4): 271.

  6. Chattopadhyay S, Raines RT. Review collagen-based biomaterialsfor wound healing. Biopolymers. 2014;101(8): 821-833.

  7. Garcia N, Lau LDW, Lo CH, Cleland H, Akbarzadeh S.Understanding the mechanisms of spontaneous andskin-grafted wound repair: the path to engineered skin grafts. JWound Care. 2023; 32(1): 55-62.

  8. Pallaske F, Pallaske A, Herklotz K, Boese-Landgraf J. Thesignificance of collagen dressings in wound management: areview. J Wound Care. 2018; 27(10): 692-702.

  9. Lozeau LD, Grosha J, Smith IM, Stewart EJ, Camesano TA, RolleMW. Alginate Affects Bioactivity of Chimeric Collagen-BindingLL37 Antimicrobial Peptides Adsorbed to Collagen-AlginateWound Dressings. ACS Biomater Sci Eng. 2020;6 (6):3398-3410.

  10. Chen K, Sivaraj D, Davitt MF, Leeolou MC, Henn D, Steele SR,et al. Pullulan-Collagen hydrogel wound dressing promotesdermal remodelling and wound healing compared tocommercially available collagen dressings. Wound RepairRegen. 2022; 30(3): 397-408.

  11. Herskovitz I, Hughes OB, Macquhae F, Rakosi A, Kirsner R.Epidermal skin grafting. Int Wound J. 2016;13 Suppl 3(Suppl 3):52-56.

  12. Panayi AC, Haug V, Liu Q, Wu M, Karvar M, Aoki S, et al.Novel application of autologous micrografts in a collagenglycosaminoglycanscaffold for diabetic wound healing. BiomedMater. 2021; 16(3).

  13. Held M, Rahmanian-Schwarz A, Schiefer J, Rath R, Werner JO,Rahmanian S, et al. A novel collagen-gelatin scaffold for thetreatment of deep dermal wounds-an evaluation in a minipigmodel. Dermatol Surg. 2016; 42(6):751-756.

  14. Barone S, Bao E, Rothberg S, Palacios JF, Smith IT, Tanna N,Bastidas N. Scar management in pediatric patients. Medicina(Kaunas). 2025; 61(4): 553.




CC BY-NC-ND

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Dermatología Cosmética, Médica y Quirúrgica. 2026;24