Bite, Spider, Brown Recluse Spider, Loxosceles Envenomation - DermAtlas

Contributor

Chris Ha, MD

Diagnosis

bite, spider brown recluse spider Loxosceles envenomation

Body Site

thigh leg

Age

28 years

Pigmentation

light

Organization

Color

purple

Morphology

ulcerated (erosion / ulcer)

Pattern

asymmetric

Comments

This young woman experienced a stinging sensation on her thigh while cleaning the basement in the early spring. An itchy red urticarial plaque was followed by central crusting 6-8 hours later. The next morning she developed a painful central necrotic ulcer. She was treated with oral dapsone, and the ulcer healed with minimal scarring 3 weeks later..

Description

painful violaceous 4 cm plaque with central crust

Image Added

8/4/2002 13:14:56

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Other Resources

PubMed Medline Plus Medscape

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