Divito Sherrie J, Haught Justin M, English Joseph C, Ferris Laura K
Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Clin Aesthet Dermatol. 2009 Sep;2(9):40-3.
Dermonecrotic arachnidism is the potential cutaneous reaction to spider bite venom. The yellow sac spider, genus Cheiracanthium, is historically considered capable of inducing dermonecrotic lesions. However, recently this belief has been hotly debated. In this article, the authors provide a brief review of dermonecrotic arachnidism and describe a case of a 20-year-old man who developed severe necrosis and edema of the left thigh, buttock, penis, and scrotum following the bite of a yellow sac spider. Notably, the patient wore a tight-fitting garment for multiple hours following the spider bite, thus compressing the envenomated tissue. This is the first case reporting such severe dermonecrosis resulting from a yellow sac spider bite and highlights the potential effects of tissue compression following spider envenomation.
皮肤坏死性蛛毒中毒是对蜘蛛咬伤毒液的潜在皮肤反应。黄囊蛛属（Cheiracanthium）的黄囊蛛在历史上被认为能够引起皮肤坏死性病变。然而，最近这一观点受到了激烈的争论。在本文中，作者简要回顾了皮肤坏死性蛛毒中毒，并描述了一例20岁男性的病例，该患者在被一只黄囊蛛咬伤后，左大腿、臀部、阴茎和阴囊出现了严重的坏死和水肿。值得注意的是，该患者在被蜘蛛咬伤后数小时内穿着紧身衣物，从而压迫了被注入毒液的组织。这是首例报告由黄囊蛛咬伤导致如此严重皮肤坏死的病例，并强调了蜘蛛注入毒液后组织压迫的潜在影响。
