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LCDR Robert N. Longfield, MC
USNR

Infectious Disease Branch National Naval Medical Center Bethesda, MD 20014

Arch Neurol. 1981;38(7):470.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Sensory neuritis of the superficial branch of the radial nerve (cheiralgia paresthetica) may occur with a number of diseases, after trauma, or as a feature of idiopathic multiple sensory neuritis. We recently saw a case presumed to be related to a spider bite.

Report of a Case.—

A 38-year-old woman cleaned out the cellar of her home in northern Virginia. Approximately six hours later, she noted the onset of pain and the presence of two fine "puncture marks" over her first metacarpophalangeal joint. Over the next 12 hours, the pain greatly intensified, with the development of a hemorrhagic bulla at the site. She did not remember being bitten by a spider but recalled having seen spiders similar in size and coloring to the brown recluse spider (Loxosceles reclusus) near her home.

In the emergency room, she was acutely ill, and displayed mild signs of poisoning but was . . . [Full Text PDF of this Article]

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