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Anais Brasileiros de Dermatologia

Print version ISSN 0365-0596On-line version ISSN 1806-4841

An. Bras. Dermatol. vol.94 no.1 Rio de Janeiro Jan./Feb. 2019 


Answer from the authors of the article “Skin manifestations of tick bites in humans” to Dr. Stefan Vilges de Oliveira and Dr. Álvaro A. Faccini-Martínez

Vidal Haddad Junior1

Michel Raineri Haddad2

Mônica Santos3  4

João Luiz Costa Cardoso5

1Department of Dermatology and Radiotherapy, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.

2Department of Internal Medicine, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto (SP), Brazil.

3Department of Dermatology, Universidade Estadual do Amazonas, Manaus (AM), Brazil.

4Outpatient Clinic of Tropical Dermatology, Fundação Alfredo da Matta (FUAM) - Manaus (AM), Brazil.

5Ubatuba Dermatology Clinic, Ubatuba (SP), Brazil.

We are grateful for the comments which will ceratainly enrich the ever-evolving knowledge about tick-borne diseases, both those caused by parts of the tick’s mouth remaining in the skin after the bite and the infectious diseases transmitted by the arthropods. We are sure that the letter will draw readers’ attention and will fulfill the function intended by the authors. However, it should be clear that the purpose of the article was not to exhaust the subject, but, as a medical text, to propose a practical classification so that dermatologists and other professionals in the field of Tropical Medicine know more about the problem and know how to evaluate later complications caused by the bites. However, due to the constant evolution of studies on tick-borne diseases, the scientific significance of this type of text may be limited (although the most frequent diseases are all approached by the study). On the other hand, the idea of classification based on a clinical observation and consequent therapeutic indication, the primary objective of the work remains – and will remain – current.1


1 Haddad V Jr, Haddad MR, Santos M, Cardoso JLC. Skin manifestations of tick bites in humans. An Bras Dermatol. 2018;93:251-5. [ Links ]

Received: July 20, 2018; Accepted: October 28, 2018

Mailing Address: Vidal Haddad Junior. E-mail:

Creative Commons License This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License which permits unrestricted noncommercial use, distribution, and reproduction in any medium provided the original work is properly cited.