Abstract
A 28-year-old female presented with one-week history of progressively worsening cutaneous lesions. Patient is a helicopter pilot that moved to Texas from Hawaii three weeks prior to initial encounter, with a stop in Florida for a week of water survival training. While in Florida she noted a small red welt on the dorsal aspect of her left wrist. Over a one week period she noted new lesions developing over her arms and legs, with two new lesions on her chest over the last two days just below her clavicles. The patient believed they were spider bites due to finding a spider in her rental car while in Florida.
Significant recent history includes frequent extended isolated camping trips in Hawaii and the adoption of two kittens that had been treated at a shelter before adoption. She denies any new sexual contacts and no known contacts with similar lesions.
Citation
Alana Sabene LCDR. Painless, Spreading, Annular Lesions in an Adult. SM Dermatolog J. 2018; 4(1): 1027.