Podcast #378: Is That a Brown Recluse Spider Bite?

Author:  Michael Hunt, MD

Educational Pearls:

  • Use the mnemonic NOT RECLUSE to rule out a brown recluse spider bite:
  • Numerous bites (recluse spiders will bite once)
  • Occurence (recluse bites between April- October)
  • Timing (recluse spiders are… get this…  reclusive)
  • Red (recluse bites are white/pale)
  • Elevated (recluse bites are flat)
  • Chronic (recluse bites are acute)
  • Large (recluse wounds are small)
  • Ulceration, early (recluse bites ulcerate between 7-14 days)
  • Swollen (recluse bites are flat)
  • Exudative (recluse bites are dry)

 

References:

Stoecker WV, Vetter RS, Dyer JA. NOT RECLUSE-A Mnemonic Device to Avoid False Diagnoses of Brown Recluse Spider Bites. JAMA Dermatol. 2017 May 1;153(5):377-378. doi: 10.1001/jamadermatol.2016.5665. PubMed PMID: 28199453.

Check out this episode!

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