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Exogenous acral pigmentation induced by coleoptera: an underdiagnosed mimic of severe disease.

  • Author(s): Álvarez-Salafranca, Marcial
  • Yélamos, Oriol
  • Ramírez-Lluch, Mar
  • Valero-Torres, Alberto
  • Ara-Martín, Mariano
  • et al.
Creative Commons 'BY-NC-ND' version 4.0 license
Abstract

Acral purpura is generally a hallmark for severe internal disease. However, exogenous pigmentation related to contact with invertebrates, can induce acral purpura-like lesions. Data regarding the beetle's ability to cause skin hyperpigmentation or purpura-like lesions are scarce. We report a case of exogenous pigmentation caused by accidental contact with a darkling beetle, clinically simulating acral purpuric lesions. The history of recent drug inhalation and abnormal autoimmunity tests made this diagnosis difficult.

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