title: Persistent segmental cutaneous anesthesia after a brown recluse spider bite.
abstract: Patients with brown recluse spider bites commonly suffer from pain, muscular aching, and a variety of local dysesthesias during the acute and resolution phases of toxin-induced injury. This is our first well-documented observation of persistent cutaneous anesthesia caused by a spider bite. The anesthetic area conformed to the distribution of a specific nerve, the transverse cervical cutaneous nerve. The identification of the spider as a brown recluse and the location of the bite over the nerve's usual pathway strongly suggest that the venom was responsible for this complication.
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
authors.forename: A S
authors.initials: AS
authors.lastname: Gross
authors.forename: D C
authors.initials: DC
authors.lastname: Wilson
authors.forename: L E
authors.initials: LE
authors.lastname: King
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009333:Neck; D009336:Necrosis; D009422:Nervous System Diseases / Q000209:etiology* / Q000473:pathology; D010727:Phosphoric Diester Hydrolases / Q000009:adverse effects*; D012677:Sensation / Q000187:drug effects*; D012867:Skin / Q000294:innervation / Q000473:pathology / Q000503:physiopathology*; D001098:Spider Bites / Q000150:complications* / Q000188:drug therapy; D013111:Spider Venoms / Q000009:adverse effects*
chemical_list: D013111:Spider Venoms; D010727:Phosphoric Diester Hydrolases; C055160:sphingomyelin phosphodiesterase D