Erythema nodosum following a jellyfish sting

Paul S. Auerbach, James Taylor Hays

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

At least 100 of the approximately 9,000 species of coelenterates are dangerous to humans. The most common syndrome following an envenomation is an immediate intense dermatitis, with characteristic skin discoloration, local pain, and systemic symptoms. In this case report, we describe a case of erythema nodosum with articular manifestations following envenomation with an unknown jellyfish. Serological testing of the victim revealed marked elevation of immunoglobulins G and M directed against Physalia physalis, the Portuguese man-of-war. The patient's condition did not respond to conventional topical therapy for coelenterate envenomation, but was successfully managed with systemic corticosteroid therapy. This case demonstrates that the emergency physician should consider a delayed reaction to a marine envenomation in any victim who presents with an acute dermatological disease following immersion in marine coastal waters.

Original languageEnglish (US)
Pages (from-to)487-491
Number of pages5
JournalJournal of Emergency Medicine
Volume5
Issue number6
DOIs
StatePublished - 1987
Externally publishedYes

Fingerprint

Hydrozoa
Erythema Nodosum
Bites and Stings
Acute Disease
Immersion
Dermatitis
Immunoglobulin M
Adrenal Cortex Hormones
Emergencies
Immunoglobulin G
Joints
Physicians
Pain
Skin
Water
Therapeutics

Keywords

  • envenomation
  • erythema nodosum
  • jellyfish
  • marine envenomation
  • Portuguese man-of-war

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Erythema nodosum following a jellyfish sting. / Auerbach, Paul S.; Hays, James Taylor.

In: Journal of Emergency Medicine, Vol. 5, No. 6, 1987, p. 487-491.

Research output: Contribution to journalArticle

Auerbach, Paul S. ; Hays, James Taylor. / Erythema nodosum following a jellyfish sting. In: Journal of Emergency Medicine. 1987 ; Vol. 5, No. 6. pp. 487-491.
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