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The necrotic lesions of the brown recluse spider bite can mimic other diseases, including erythema chronicum migrans, Stevens-Johnson syndrome, Lyell's syndrome (toxic epidermal necrolysis), erythema nodosum, erythema multiforme, herpes simplex infection, purpura fulminans, diabetic ulcer, bedsore, poison oak and poison ivy reactions, gonococcal arthritic dermatitis, urticaria, pyoderma, and cellulitis. Occurrence of erythema chronicum migrans and Lyme disease among children in two noncontiguous Connecticut counties. |
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