Rees R S, Fields J P, King L E
South Med J. 1985 Mar;78(3):283-7. doi: 10.1097/00007611-198503000-00012.
Brown recluse spider bites are usually self-limited skin lesions that infrequently progress to bullae, ulceration, and scarring. We treated a patient with a documented brown recluse bite who had recurring lesions resembling pyoderma gangrenosum (PG) that persisted for months. Three other patients referred to Vanderbilt University because of probable brown recluse bite also had pyoderma for the first time after a suspected arthropod bite. The persistent and recurrent pyodermas in these four patients indicate that (1) brown recluse spider bites may not be self-limited but induce PG or PG-like lesions; (2) arthropod bites in general may induce PG in susceptible people; and (3) treatment of the PG-like lesions in these patients may be difficult.
棕色隐士蜘蛛咬伤通常是自限性皮肤损伤，很少发展为大疱、溃疡和瘢痕形成。我们治疗了一名有记录的棕色隐士蜘蛛咬伤患者，其反复出现类似坏疽性脓皮病（PG）的皮损，持续数月。另外三名因可能被棕色隐士蜘蛛咬伤而转诊至范德比尔特大学的患者，在疑似节肢动物咬伤后也首次出现了脓皮病。这四名患者持续且反复出现的脓皮病表明：（1）棕色隐士蜘蛛咬伤可能并非自限性，而是诱发PG或PG样皮损；（2）一般来说，节肢动物咬伤可能在易感人群中诱发PG；（3）治疗这些患者的PG样皮损可能很困难。
