Bite, Spider, Brown Recluse Spider, Purpura - DermAtlas

Contributor

Arthur Losher

Diagnosis

bite, spider brown recluse spider purpura

Body Site

leg thigh

Age

30 years

Pigmentation

light

Organization

mottled/speckled

Color

purple blue

Morphology

macular / flat (macule / patch)

Pattern

localized solitary

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.

Description

irregularly shaped stellate purple patch on a bluish-gray base

Image Added

7/5/2004 11:46:42

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Other Resources

PubMed Medline Plus Medscape

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