Millipides (Class Diplopoda) are present worldwide and show a considerable range in size. They tend to be most active at night and favor dark, moist habitats, They produce toxic secretions that are used in defense to disuade predators.
Features: Multiple body segments, each with 2 pairs of legs.
Possible toxins in the secretions include:
(1) benzoquinones
(2) quinonoids
(3) hydrocyanic acid
Modes of toxin release:
(1) direct contact
(2) spraying
Dermal injuries may include:
(1) discoloration of the skin, typically a mahogany hue
(2) chemical burn
Ocular injuries:
(1) periorbital discoloration and edema
(2) keratitis and/or corneal ulcerations
Epidemiologic exposure:
(1) shoes, clothing or linens left outdoors
(2) sleeping outdoors on the ground
(3) playing
It is important not to confuse these lesions with injuries associated with child abuse.
To read more or access our algorithms and calculators, please log in or register.