title: Skin lesions simulating blue toe syndrome caused by prolonged contact with a millipede.
abstract: Venomous animals are those that, by means of a hunting and defense mechanism, are able to inject their prey with a toxic substance produced in their bodies, directly from specialized glands (e.g., tooth, sting, spur) through which the poison passes. Millipedes are poisonous animals; they can be harmful to humans, and their effects usually manifest as erythematous, purpuric, and cyanotic lesions; local pain; and paresthesia. Here, we report a case of skin contact with a millipede for 6h resulting in skin lesions similar to blue toe syndrome.
authors.affiliation: Programa de Pós-Gradução de Ensino e Pesquisa em Entomologia Médica e Acariologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Augusto Scardazan
authors.initials: AS
authors.lastname: Heeren Neto
authors.affiliation: Programa de Pós-Graduação de Dermatologia, Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
authors.forename: Fred
authors.initials: F
authors.lastname: Bernardes Filho
authors.affiliation: Dermatologista especialista pela Sociedade Brasileira de Dermatologia, Clínica Privada, Ituiutaba, MG.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Martins
mesh_terms: D000818:Animals; D001181:Arthropods / Q000737:chemistry; D018438:Blue Toe Syndrome / Q000175:diagnosis*; D003877:Dermatitis, Contact / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D013997:Time Factors; D055815:Young Adult