Letter to the Editor

A Clinical Observation: Loxoscelism Pain Managed with Lidocaine Patch

Authors: Edwin J. Masters, MD

Abstract

To the Editor:


In my 35 years of practice in a highly endemic area, I have had extensive experience treating brown recluse (Loxosceles reclusa) spider bites1–4 and I want to report an recent observation. Although anecdotal, I believe it is highly significant.

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References

1. Masters EJ, Hunter S, King L. Treatment of brown recluse spider bites [letter]. N Engl J Med 1998;339:26.
 
2. Masters EJ. Loxoscelism. Images in clinical medicine. N Engl J Med 1998;339:379.
 
3. Masters EJ, King LE. Differentiating cutaneous loxoscelism from lyme erythema migrans. Emerg Med 1994;26:46–49.
 
4. Masters EJ. Clinical differentiation of lyme erythema migrans, loxoscelism and cutaneous anthrax. Infect Med In press.