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2019, Number 3

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Med Cutan Iber Lat Am 2019; 47 (3)

Purpuric dermatitis from Agave americana: a case report

Hermosilla N, Segall D, Ramos N, Barría C
Full text How to cite this article 10.35366/91766

DOI

DOI: 10.35366/91766
URL: https://dx.doi.org/10.35366/91766

Language: Portugu?s
References: 7
Page: 231-233
PDF size: 386.54 Kb.


Key words:

Purpuric dermatitis, agave, vasculitis.

ABSTRACT

American Agave sap may occasionally produce irritant contact dermatitis. This pathology commonly affects distilleries workers and plantations of this species. It usually presents as a burning sensation, erythema and edema minutes after direct contact. Then, the primary lesions appear, characterized by papulovesicular lesions, linear, with intense pruritus in the exposed areas. It can be associated with fever, diarrhea, myalgia and headache. There is an unusual form of presentation with palpable purpuric lesions, generally associated to the use of chainsaw, due to the high speed entry of the calcium oxalate particles contained in the sap of the Agave, to the dermis. The diagnosis is clinical, with a complementary histopathological study. Currently there are no treatment guidelines, but topical corticosteroids associated with oral may be required if there is significant sistemic compromise.


REFERENCES

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  2. Ricks MR, Vogel PS, Elston DM, Hivnor C. Purpuric agave dermatitis. J Am Acad Dermatol. 1999; 40 (2 Pt 2): 356-358.

  3. De la Cueva P, González-Carrascosa M, Campos M, Leis V, Suárez R, Lázaro P. Contact dermatitis from Agave americana. Actas Dermosifiliogr. 2005; 96 (8): 534-536.

  4. Tello T, Chiu NT, North JP. Purpuric Agave dermatitis. J Cutan Pathol. 2017; 44 (12): 995-997.

  5. Cherpelis BS, Fenske NA. Purpuric irritant contact dermatitis induced by Agave americana. Cutis. 2000; 66 (4): 287-288.

  6. Barabash-Neila R, Zulueta-Dorado T, Conejo-Mir J. Agave americana causing irritant contact dermatitis with a purpuric component. Actas Dermosifiliogr. 2011; 102 (1): 74-76.

  7. Kerner J, Mitchell J, Maibach HI. Irritant contact dermatitis from Agave americana L. Incorrect use of sap as “hair restorer”. Arch Dermatol. 1973; 108 (1): 102-103.




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C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2019;47