目的:除了描述局部SS的临床表现外,还描述了一个具有典型荨麻疹病变的蝎子刺痛(SS)的年轻患者。
方法:在主要数据库中对1966年至2021年的文章进行了系统筛选。所有文章都包括SS和荨麻疹之间的关联。新病例报告将添加到发布的列表中。
结果:文献检索发现5篇文章,29例SS和荨麻疹/过敏反应。我们通过添加我们目前的案例来进行分析,共30例。大多数是男性,他们的年龄从29岁到48岁不等。关于SS严重性,大多数是轻度或中度。在两篇文章中,患者有不止一次刺痛。过敏反应与荨麻疹不同,瘙痒,冲洗,血管性水肿,喘息,鼻漏,打喷嚏,意识改变,以及胃肠道和心血管改变。在5/6(83%)的文章中,患者在研究时间还活着。一名受试者死于过敏性休克。
结论:本文系统回顾了所有已发表的SS和蝎毒过敏反应的病例。这是一种罕见的关联;大多数患者是男性,处于生产年龄,反应可能从轻度到重度不等,包括死亡。
OBJECTIVE: To describe a young patient with scorpion sting (SS) with typical lesions of urticaria besides the local SS clinical picture.
METHODS: A systematic screening of articles dating from 1966 to 2021 was conducted in the main databases. All articles included the association between SS and urticaria. A new
case report is added to the published list.
RESULTS: The literature search found 5 articles with 29 patients with SS and urticaria/allergic reactions. We performed our analysis by adding our present
case, resulting in a total of 30 cases. Most were male, and their ages varied from 29 to 48 years. Regarding SS severity, most were mild or moderate. In two articles, patients had more than one sting. The allergic reaction varied from urticaria, pruritus, flushing, angioedema, wheezing, rhinorrhea, sneezing, consciousness alterations, and gastrointestinal and cardiovascular alterations. In 5/6 (83%) articles, the patients were alive at the study time. One subject died from anaphylactic shock.
CONCLUSIONS: The present article systematically reviewed all published cases of SS and allergic reactions to scorpion venom. It is an infrequent association; most patients are male and in the productive age, and reaction may vary from mild to severe, including death.