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A necrotic spider bite like that of the recluse family (loxoceles) or hobo family (tegenaria) can leave this type of mark which may grow in size but other insects can leave black marks in the central puncture/ wound site like wasp or hornet stings, ant bites, etc. Have it seen for evaluation.
The most common symptom of extramammary Paget disease (EMPD) is mild to intense itching of a lesion found around the genital or anal area. Pain and bleeding may result from scratching the lesions. The lesions can become thick, red, scaly, and crusty. In women, the most common affected area is the vulva.