Abstract：
The brown recluse spider (Loxosceles reclusa) is endemic to the southcentral Midwest and the Southern United States. A bite from a brown recluse spider may result in symptoms that range from local skin necrosis to systemic complications such as acute haemolytic anaemia, disseminated intravascular coagulopathy, rhabdomyolysis and death. Although rare, systemic loxoscelism is a clinical diagnosis of exclusion that should be considered in a patient with acute autoimmune haemolytic anaemia. We describe a case of a young man with autoimmune haemolytic anaemia secondary to systemic loxoscelism successfully treated with intravenous immunoglobulin and steroids.
摘要：
棕色隐居蜘蛛（Loxoscelesreclusa）是中西部中南部和美国南部特有的。棕色隐居蜘蛛咬伤可能会导致从局部皮肤坏死到全身并发症的症状，如急性溶血性贫血，播散性血管内凝血病,横纹肌溶解和死亡。虽然罕见，全身性溶血性贫血是急性自身免疫性溶血性贫血患者应考虑的排除性临床诊断.我们描述了一例年轻男子的自身免疫性溶血性贫血，继发于全身性营养不良，成功地用静脉注射免疫球蛋白和类固醇治疗。
