2015
DOI: 10.1111/jdv.13274
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Cutaneous loxoscelism due to Loxosceles rufescens

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Cited by 14 publications
(4 citation statements)
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“…There are only a few published cases of necrotic arachnidism with distinct identification of the culprit spider in Europe, and, worldwide, only a very small proportion of spiders have so far been identified to induce necrotic ulcers ( 2 , 5 , 6 ). Therapeutic strategies therefore remain speculative and empirical.…”
Section: Discussionmentioning
confidence: 99%
“…There are only a few published cases of necrotic arachnidism with distinct identification of the culprit spider in Europe, and, worldwide, only a very small proportion of spiders have so far been identified to induce necrotic ulcers ( 2 , 5 , 6 ). Therapeutic strategies therefore remain speculative and empirical.…”
Section: Discussionmentioning
confidence: 99%
“…In this sense, spiders of the genus Loxosceles spp. are of great medical importance, with several cases reported worldwide [49,50,51,52,53]. In Brazil, these spiders are responsible for thousands of accidents every year (Sistema de Informação de Agravo de Notificação, Ministério da Saúde) and the recommended treatment is the serum therapy [1,27,28,29].…”
Section: Discussionmentioning
confidence: 99%
“…Bites of the Loxosceles rufescens spider cause key dermonecrotic consequences, systemic inflammatory reaction and even fatal consequences, especially among children. In this case, the pathophysiological mechanisms of action of toxins are attractive, which consist in the stimulation of apoptosis of epidermal cells by the enzyme sphingomyelinase D, which increases the synthesis of membrane-bound MMP-2 and MMP-9 in cell culture (25)(26)(27)(28).…”
Section: Mechanisms Of Disruption Of Cellular Homeostasis Of Mammals ...mentioning
confidence: 99%
“…As the main point of contact with toxic components of natural venoms that have entered the bloodstream, endotheliocytes perform the function of recognising them by expressing numerous PRRs, among which toll-like receptor (TLR), TNF receptors and IL-1 and cause activation of pro-inflammatory genes and pathological changes in the microcirculation of blood vessels (26,27). Endotheliocytes also express molecules of the major histocompatibility complex (MHC) classes I and II and CD40 ligands, ensuring intravascular presentation of foreign agents, including animal venom toxins, to effector cells of the immune system (28). Endothelial cells modulate function of the immune system by affecting migration of leukocytes.…”
Section: Mechanisms Of Disruption Of Cellular Homeostasis Of Mammals ...mentioning
confidence: 99%