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Escharotic lesion after a "brown recluse spider bite".(Photo Quiz)(Clinical report)
From:
American Family Physician
| Date:
June 15, 2007| Author:
| COPYRIGHT 2007 American Academy of Family Physicians. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group.Copyright information
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A 63-year-old woman presented with what she thought was a brown recluse spider bite received 10 days earlier. After noticing a small, painless, nonpruritic, red bump on her upper back, she surmised that a spider had bitten her, although she did not see a spider at the time. The following day she applied a "black salve" she had learned about in a local traditional medicines class. A black eschar soon developed, and the lesion became progressively pruritic.
Her medical history was remarkable for a basal cell carcinoma, excised from a separate location on her back seven years ...
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