Pseudoepitheliomatous hyperplasia and pyoderma gangrenosum after a brown recluse spider bite.

Abstract:

:Brown recluse spider bites may result in extensive soft tissue injury, causing months of disability. We have described a patient who had a series of extensive surgical debridements after envenomation. Despite skin grafting, persistent cutaneous lesions and extensive satellitosis progressed to involve the entire lower extremity. A recent biopsy showed pseudoepitheliomatous hyperplasia and pyoderma gangrenosum complicating the original injury. Although the role of early surgical excision and newer forms of medical treatment including dapsone and antivenom are still in evolution, recent reports suggest that the majority of patients will respond to medical therapy and may not require any surgical intervention.

journal_name

South Med J

journal_title

Southern medical journal

authors

Hoover EL,Williams W,Koger L,Murthy R,Parsh S,Weaver WL

doi

10.1097/00007611-199002000-00029

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

243-6

issue

2

eissn

0038-4348

issn

1541-8243

journal_volume

83

pub_type

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