Did a spider bite cause these skin lesions?

A child presented stating he had been bitten on his left palm.

This article has been allocated 0.5 EA by the RACGP and ACRRM for the 2026-2028 triennium.

You can self-report this CPD/PDP activity by logging it online with the RACGP and ACRRM. Click on the link for RACGP Quick Log or go to your ACRRM page.

Noah is an eight-year-old boy who presents with his grandmother for review of multiple pigmented skin lesions on his hands.

He states that he had been bitten by a spider on his left palm two weeks earlier, although he did not see the offending arachnid, and there was no apparent bite mark.