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 © 2001-2009, DermAtlas | Image Name: | brown_recluse_5_040704 | File Type: | jpg | |
| Diagnosis: | BITE, SPIDER / BROWN RECLUSE SPIDER / PURPURA | Category: | environmental injury / purpura | ||
| Body Site: | leg / thigh | Age: | 30 years | ||
| Contributor: | Arthur Losher | ||||
| Description: | irregularly shaped stellate purple patch on a bluish-gray base | ||||
| Comments: | 1 year later-This healthy man felt a stinging pain in his right thigh while sleeping in bed and found a spider that fit the description of a brown recluse scampering down the bed sheets. Within 24 hours he developed a painful purpuric patch with underlying bluish discoloration. He was evaluated in the emergency room and referred for admission to the hospital in Perkin, Illinois where the lesion was debrided resulting in a 12.4 cm oval wound to fat. He was subsequently treated with parenteral antibiotics and grafting. This image was taken on the day of the bite. | ||||
| Related Images: | All related Images brown_recluse_1_040704 brown_recluse_2_040704 brown_recluse_3_040704 brown_recluse_4_040704 | ||||
 © 2001-2009, DermAtlas | Image Name: | brown_recluse_4_040704 | File Type: | jpg | |
| Diagnosis: | BITE, SPIDER / BROWN RECLUSE SPIDER / PURPURA | Category: | environmental injury / purpura | ||
| Body Site: | leg / thigh | Age: | 30 years | ||
| Contributor: | Arthur Losher | ||||
| Description: | irregularly shaped stellate purple patch on a bluish-gray base | ||||
| Comments: | Day 11-This healthy man felt a stinging pain in his right thigh while sleeping in bed and found a spider that fit the description of a brown recluse scampering down the bed sheets. Within 24 hours he developed a painful purpuric patch with underlying bluish discoloration. He was evaluated in the emergency room and referred for admission to the hospital in Perkin, Illinois where the lesion was debrided resulting in a 12.4 cm oval wound to fat. He was subsequently treated with parenteral antibiotics and grafting. This image was taken on the day of the bite. | ||||
| Related Images: | All related Images brown_recluse_1_040704 brown_recluse_2_040704 brown_recluse_3_040704 brown_recluse_5_040704 | ||||
 © 2001-2009, DermAtlas | Image Name: | brown_recluse_3_040704 | File Type: | jpg | |
| Diagnosis: | BITE, SPIDER / BROWN RECLUSE SPIDER / PURPURA | Category: | environmental injury / purpura | ||
| Body Site: | leg / thigh | Age: | 30 years | ||
| Contributor: | Arthur Losher | ||||
| Description: | irregularly shaped stellate purple patch on a bluish-gray base | ||||
| Comments: | Day 9-This healthy man felt a stinging pain in his right thigh while sleeping in bed and found a spider that fit the description of a brown recluse scampering down the bed sheets. Within 24 hours he developed a painful purpuric patch with underlying bluish discoloration. He was evaluated in the emergency room and referred for admission to the hospital in Perkin, Illinois where the lesion was debrided resulting in a 12.4 cm oval wound to fat. He was subsequently treated with parenteral antibiotics and grafting. This image was taken on the day of the bite. | ||||
| Related Images: | All related Images brown_recluse_1_040704 brown_recluse_2_040704 brown_recluse_4_040704 brown_recluse_5_040704 | ||||
 © 2001-2009, DermAtlas | Image Name: | brown_recluse_2_040704 | File Type: | jpg | |
| Diagnosis: | BITE, SPIDER / BROWN RECLUSE SPIDER / PURPURA | Category: | environmental injury / purpura | ||
| Body Site: | leg / thigh | Age: | 30 years | ||
| Contributor: | Arthur Losher | ||||
| Description: | irregularly shaped stellate purple patch on a bluish-gray base | ||||
| Comments: | Day 3-This healthy man felt a stinging pain in his right thigh while sleeping in bed and found a spider that fit the description of a brown recluse scampering down the bed sheets. Within 24 hours he developed a painful purpuric patch with underlying bluish discoloration. He was evaluated in the emergency room and referred for admission to the hospital in Perkin, Illinois where the lesion was debrided resulting in a 12.4 cm oval wound to fat. He was subsequently treated with parenteral antibiotics and grafting. This image was taken on the day of the bite. | ||||
| Related Images: | All related Images brown_recluse_1_040704 brown_recluse_3_040704 brown_recluse_4_040704 brown_recluse_5_040704 | ||||
 © 2001-2009, DermAtlas | Image Name: | brown_recluse_1_040704 | File Type: | jpg | |
| Diagnosis: | BITE, SPIDER / BROWN RECLUSE SPIDER / PURPURA | Category: | environmental injury / purpura | ||
| Body Site: | leg / thigh | Age: | 30 years | ||
| Contributor: | Arthur Losher | ||||
| Description: | irregularly shaped stellate purple patch on a bluish-gray base | ||||
| Comments: | Day 1-This healthy man felt a stinging pain in his right thigh while sleeping in bed and found a spider that fit the description of a brown recluse scampering down the bed sheets. Within 24 hours he developed a painful purpuric patch with underlying bluish discoloration. He was evaluated in the emergency room and referred for admission to the hospital in Perkin, Illinois where the lesion was debrided resulting in a 12.4 cm oval wound to fat. He was subsequently treated with parenteral antibiotics and grafting. This image was taken on the day of the bite. | ||||
| Related Images: | All related Images brown_recluse_2_040704 brown_recluse_3_040704 brown_recluse_4_040704 brown_recluse_5_040704 | ||||
 © 2001-2009, DermAtlas | Image Name: | recluseweek8_10_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / GRAFT, SKIN / LOXOSCELES ENVENOMATION | Category: | purpura / procedures / demonstration / ulcer | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | graft placed from donor site on hip | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek4_6_021026 recluseweek5_7_021026 recluseweek6_8_021026 recluseweek7_9_021026 | ||||
 © 2001-2009, DermAtlas | Image Name: | recluseweek7_9_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / PURPURA / LOXOSCELES ENVENOMATION | Category: | purpura | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | irregular round 5 cm purpuric patch | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek4_6_021026 recluseweek5_7_021026 recluseweek6_8_021026 recluseweek8_10_021026 | ||||
 © 2001-2009, DermAtlas | Image Name: | recluseweek6_8_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / PURPURA / LOXOSCELES ENVENOMATION | Category: | purpura / ulcer | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | necrotic ulcer with black eschar | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek4_6_021026 recluseweek5_7_021026 recluseweek7_9_021026 recluseweek8_10_021026 | ||||
 © 2001-2009, DermAtlas | Image Name: | recluseweek5_7_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / PURPURA / LOXOSCELES ENVENOMATION | Category: | purpura / ulcer | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | necrotic ulcer with black eschar | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek4_6_021026 recluseweek6_8_021026 recluseweek7_9_021026 recluseweek8_10_021026 | ||||
 © 2001-2009, DermAtlas | Image Name: | recluseweek4_6_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / PURPURA / LOXOSCELES ENVENOMATION | Category: | purpura / ulcer | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | necrotic ulcer with black eschar | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek5_7_021026 recluseweek6_8_021026 recluseweek7_9_021026 recluseweek8_10_021026 | ||||
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Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Diagnosis=1325362622