Presentation
History
The history may indicate that a patient was handling a millipede. On occasion, the history of a patient (eg, a sleeping victim, small child) may be obscure. [15, 16, 17, 18, 19]
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Skin irritation
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Pain
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Brown staining at the site of contact
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Slight blistering
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Eye irritation and pain
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Physical Examination
Physical examination findings include the following:
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Local erythema
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Mild edema
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Vesicles
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Occasionally, cracked skin that may slough and then heal
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Conjunctivitis, which may lead to ulceration of the conjunctiva and cornea
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Complications
Cutaneous exposures generally heal without complications.
Conjunctivitis or corneal ulcerations can complicate eye exposures.
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Media Gallery
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The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
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The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
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Millipede contact injury on day 3 following exposure.
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