title: Acute generalized exanthematous pustulosis associated with spider bite.
abstract: Acute generalized exanthematous pustulosis (AGEP) is an acute febrile rash, usually induced by drugs, which recently has been linked to spider bite. We report a case of a male patient, 48 years old, with an erythematous rash accompanied by fever and small non-follicular pustules. He reported previous pain in the buttock with the onset of a necrotic plaque. The lesion was compatible with spider bite of the genus Loxosceles. According to the EuroSCAR group instrument, the patient scored +10 indicating definite diagnosis of AGEP. As the patient had a compatible lesion and had no other triggers of AGEP, in an Loxosceles endemic area, the AGEP would be associated with spider bite, as described in other publications.
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.
authors: Laura de Mattos
authors: Lde M
authors: Milman
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.
authors: Giana Paula
authors: GP
authors: Müller
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.|Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS) - Porto Alegre (RS), Brazil.
authors: Paulo Ricardo Martins
authors: PR
authors: Souza
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.
authors: Aline Barcellos
authors: AB
authors: Grill
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.
authors: Deise Louise Bohn
authors: DL
authors: Rhoden
authors: Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS) - Porto Alegre (RS), Brazil.
authors: Carlos Augusto
authors: CA
authors: Mello-da-Silva
authors: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brazil.
authors: Gerson
authors: G
authors: Vettorato
mesh_terms: D056150:Acute Generalized Exanthematous Pustulosis / Q000209:etiology* / Q000473:pathology*; D000818:Animals; D063287:Brown Recluse Spider; D002081:Buttocks; D004890:Erythema / Q000209:etiology / Q000473:pathology; D005076:Exanthema / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D001098:Spider Bites / Q000150:complications*