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Correspondence |

Iguana Bite–Induced Hypersensitivity Reaction

Erika Gaines Levine, MD; Anna Manilov, BS; Susan Coutinho McAllister, BA; Warren R. Heymann, MD
Arch Dermatol. 2003;139(12):1658-1659. doi:10.1001/archderm.139.12.1658.
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Iguanas are becoming increasingly common household pets.1 In their natural environment iguanas are docile creatures1; however, when provoked, especially in captivity, they exhibit defensive behaviors such as biting and scratching. "Push-ups," nodding, and head-bobbing are warning signs that may precede an attack.2 Given the increasing popularity of the pet iguana, related-injuries may become more prevalent. We report a case of a hypersensitivity reaction that occurred after iguana bites.

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Figure 1.

Right wrist of 13-year-old boy with violaceous-pink crusted papules in the geometric shape of an iguana mouth.

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Figure 2.

A, Histologic examination of the lesions demonstrated focal epidermal spongiosis and a wedge-shaped, somewhat lichenoid, perivascular and periadnexal lymphoid infiltrate, with occasional eosinophils and mast cells. B, High-power view of skin biopsy specimen demonstrating a polymorphous infiltrate (lymphocytes, eosinophils, and mast cells).

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Iguana bite-induced hypersensitivity reaction.
Arch Dermatol 2003;;139(12):1658-9.
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