Conservative Reconstruction of the Lower Limb with a Bilayer Porous Collagen Matrix after a Spider Bite.

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI:10.1097/ASW.0000000000000254

Marco Palmesano, Davide Johan Bottini, Gabriele Storti, Lorenzo Secondi, Carlo Cossi, Alessio Calicchia, Martina Giacalone, Irene Nunziata, Emanuela Basile, Valerio Cervelli

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Abstract

Abstract: Brown recluse spider bites may cause symptoms ranging from local cutaneous reactions to systemic visceral loxoscelism. Most bites are self-limiting, but some can lead to necrotic ulcerations with severe complications and soft tissue defects. Necrotizing ulcers are uncommon and have various clinical presentations, so no standard treatment exists. A 68-year-old man required medical attention after getting a spider bite while traveling in Tanzania. After returning to Italy, the patient presented with a posterior lower limb black papule, local edema, and fever. The lesion quickly ulcerated with an eschar. Medical history and symptoms suggested a brown recluse spider bite. Ulcer management was conservative, with careful surgical debridement and a two-step reconstruction using a split-thickness skin graft and a bilayer porous collagen matrix. Treatment resulted in functional recovery and acceptable aesthetics.

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用双层多孔胶原基质保守重建蜘蛛咬伤后下肢。

摘要：褐隐蜘蛛咬伤可引起从局部皮肤反应到全身内脏损伤的症状。大多数咬伤是自限性的，但有些会导致坏死性溃疡，并伴有严重的并发症和软组织缺损。坏死性溃疡是罕见的，有各种临床表现，所以没有标准的治疗存在。一名68岁的男子在坦桑尼亚旅行时被蜘蛛咬伤，需要接受治疗。返回意大利后，患者出现下肢后部黑色丘疹、局部水肿和发热。伤口很快溃烂并结痂。病史和症状显示是棕色隐遁蜘蛛咬伤溃疡的处理是保守的，通过仔细的外科清创和两步重建使用裂厚皮肤移植和双层多孔胶原基质。治疗结果是功能恢复和可接受的美学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.