Recurrent Dermatitis and Dermal Hypersensitivity Following a Jellyfish Sting: A Case Report and Review of Literature

被引：18

作者：

Asztalos, Manuela Loredana ^{[1
]}

Rubin, Adam I. ^{[2
]}

Elenitsas, Rosalie ^{[2
]}

MacFarlane, Caroline Groft ^{[3
]}

Castelo-Soccio, Leslie ^{[4
]}

机构：

[1] St Christophers Hosp, Dept Pediat, Philadelphia, PA USA

[2] Univ Penn, Sch Med, Dept Dermatol, Sect Dermatopathol, Philadelphia, PA 19104 USA

[3] Dermatol Associates Bryn Mawr Med Specialists, Bryn Mawr, PA USA

[4] Childrens Hosp Philadelphia, Sect Pediat Dermatol, Philadelphia, PA 19104 USA

来源：

PEDIATRIC DERMATOLOGY | 2014年 / 31卷 / 02期

关键词：

CUTANEOUS REACTION; DELAYED-REACTIONS; ENVENOMATION; ERUPTIONS;

D O I：

10.1111/pde.12289

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Jellyfish envenomation often causes an immediate painful vesiculopapular eruption. Less commonly it can cause a type IV allergic hypersensitivity that manifests with delayed or recurrent cutaneous lesions at the primary site or distant from the primary site. These secondary reactivations may be related to high antijellyfish immunoglobulin levels, intracutaneously sequestered antigen, or cross-reacting venom. Immunomodulators such as pimecrolimus and tacrolimus and topical and intralesional corticosteroid therapy decrease this recurrent dermatitis. We report a case of a 9-year-old girl with a recurrent jellyfish dermatitis lasting more than 1 year after the initial envenomation. The dermatitis finally resolved after treatment with tacrolimus and intralesional triamcinolone acetonide therapy.

引用

页码：217 / 219

页数：3

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