[Identification of acute diseases caused by animals and plants in wild environments: contribution to dermatologic practice].
BACKGROUND
In recent years, there has been increasing contact between human beings that live in urban regions and the wild environment due to a series of activities. As a result, some poorly known dermatitis may present in private and dermatological clinics, especially early in the week and at the end of vacation periods.


OBJECTIVE
To obtain and provide information for dermatologists on the problem.


METHODS
The author observed adult and pediatric patients with acute dermatitis associated with plants or animals in Ubatuba, coastal city of Sao Paulo for 2 months (June / July 2006) and Medical School of Botucatu (June / July 2007).


RESULTS
We observed 25 patients in the rural area and 43 in the coastal environment. In rural areas, the most common dermatitis were phytophotodermatitis and the stings of insects and in coastal areas, sea urchin injuries and phytophotodermatitis, but in both areas there were some other accidents that were difficult to identify by regular daily practice.


CONCLUSIONS
We should be alert to the fact that patients seek a dermatologist after the acute phase of injuries. Information on the most common diseases and their characteristics can be very useful to practice in ermatologic clinics. The author suggests an algorithm to support diagnosis.
Haddad Junior
Vidal
V
Universidade Estadual Paulista, Botucatu, SP, Brasil. haddadjr@fmb.unesp.br
D000208:Acute Disease; D000328:Adult; D000465:Algorithms; D000818:Animals; D001733:Bites and Stings; D001938:Brazil; D002648:Child; D003872:Dermatitis / Q000209:etiology*; D006801:Humans; D010939:Plant Poisoning