[Acute necrosis of the skin--a possible result from the bite of a Hobo-spider].
A 63-year-old male presented with painful erythema and bullae on his left knee. When working on his boat he suddenly felt a burning sensation followed by numbness of the area. The sensation wore off, but was followed by painful erythema and necrosis. A biopsy showed necrosis with sparse inflammatory cells, consistent with a toxic or thermal injury. The lesion did not heal until after 3 months despite intensive local treatment. This course is typical for a bite of a venomous spider, probably a Hobo-spider. Such a spider was recently observed on the coast of the Øresund area where the patient had his boat.
Secher
Lisa Linnea
LL
Nordsjaellands Hospital i Hørsholm, Dermatologisk Klinik. lisa.secher@get2net.dk
Weismann
Kaare
K
D000208:Acute Disease; D003937:Diagnosis, Differential; D004890:Erythema / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D012867:Skin / Q000473:pathology*; D001098:Spider Bites / Q000150:complications / Q000188:drug therapy / Q000473:pathology*