[Dermatological aspects in the risk of biological warfare].
The possible cutaneous manifestations of infectious biological warfare are multiple and vary depending on the agent used. An ulcerous and/or necrotic syndrome and/or regional lymphadenitis syndrome are possible with anthrax, tularaemia, bubonic plague and emission of trichotecene mycotoxins. A vesiculo-pustular syndrome with fever is provoked by smallpox, melioidosis and glanders. A purpural and/or haemorrhagic syndrome is seen during haemorrhagic fever viruses and septicaemic plague. These cutaneous manifestations are excellent markers that orient and alert when they occur in a context of a situation at risk, when several cases are observed in a usually non-exposed population and with extra-dermatological syndromes. They permit the early initiation of treatment.
Carsuzaa
F
F
Service de dermatologie, HIA Ste Anne, 83998 Toulon Armées, France. dermstanne@yahoo.fr
Boyé
T
T
Debord
T
T
Guennoc
B
B
Fournier
B
B
Cavallo
J-D
JD
D001694:Biological Warfare / Q000517:prevention & control*; D023482:Bioterrorism / Q000517:prevention & control*; D003140:Communicable Disease Control; D003937:Diagnosis, Differential; D004189:Disaster Planning; D006801:Humans; D007255:Information Services; D020407:Internet; D008199:Lymphadenitis / Q000209:etiology / Q000517:prevention & control; D009336:Necrosis; D010808:Physical Examination; D012307:Risk Factors; D012871:Skin Diseases / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D012883:Skin Ulcer / Q000209:etiology / Q000517:prevention & control