<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932018000100086</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.v31n1a08</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Loxoscelismo cutáneo: paciente con múltiples picaduras y con contraindicación para sulfas. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Cutaneous Loxoscelism: Patient with multiple bites and contraindication to sulfa drugs. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angulo-Castañeda]]></surname>
<given-names><![CDATA[Nancy Yaneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castaño-Arias]]></surname>
<given-names><![CDATA[Paula Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica León XIII  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>86</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932018000100086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932018000100086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932018000100086&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Presentamos el caso clínico de un paciente adulto joven que consultó por picaduras de araña loxosceles y sus crías, con antecedentes personales importantes de trastorno de ansiedad generalizada y alergia tipo anafilaxia severa por sulfas y AINES. El proceso presentó evolución tórpida inicial con aparición de nuevas lesiones incluso 15 días después del accidente y a pesar de haber utilizado varias alternativas farmacológicas reportadas en la literatura como útiles (colchicina, antihistamínicos, esteroides, anticoagulantes, antibióticos) no había tenido respuesta, hasta la utilización de oxigeno por cámara hiperbárica con la cual frenó la aparición de nuevas lesiones y mejoró la reepitelialización sin necesidad de intervenciones quirúrgicas, con evolución exitosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY We report the case of a young adult patient who presented bites by Loxosceles spider and its hatchlings with a history of importance of such allergy anaphylaxis severe by sulfa drugs and NSAIDs, generalized anxiety disorder, who presented initial torpid with new lesions even 15 days after the accident and despite having used several pharmacological alternatives reported in the literature as useful (colchicine , antihistamines, steroids, blood thinners, antibiotics) had not been answered, to the use of oxygen for hyperbaric chamber with which brake the appearance of new and improved reepithelialization injury without surgery, with successful evolution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Accidente Arácnido]]></kwd>
<kwd lng="es"><![CDATA[Cámara Hiperbárica]]></kwd>
<kwd lng="es"><![CDATA[Loxosceles]]></kwd>
<kwd lng="es"><![CDATA[Loxoscelismo Cutáneo]]></kwd>
<kwd lng="en"><![CDATA[Arachnid Accident]]></kwd>
<kwd lng="en"><![CDATA[Cutaneous Loxoscelism]]></kwd>
<kwd lng="en"><![CDATA[Hyperbaric Chamber]]></kwd>
<kwd lng="en"><![CDATA[Loxoscelismo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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