• J Dtsch Dermatol Ges · Jun 2007

    Case Reports

    Granulomatous jellyfish dermatitis.

    • Heidi Ulrich, Michael Landthaler, and Thomas Vogt.
    • Department of Dermatology, University of Regensburg, Germany. heidi.ulrich@klinik.uni-regensburg.de
    • J Dtsch Dermatol Ges. 2007 Jun 1; 5 (6): 493-5.

    AbstractThe induction of a granulomatous inflammation by jellyfish toxins is rare. More typically, acute toxic and urticarial reactions are seen. An 11-year-old boy developed a striated urticarial erythema on the left cheek after contact with a gelatinous mass while swimming in the sea in Croatia. After initial erosion, a striated induration developed in the area of contact. Histological examination revealed a granulomatous inflammation with some eosinophils. While topical steroid-based antiinflammatory and antibacterial therapy over several weeks was not effective, topical therapy with tacrolimus 0.1% for two two-week treatment periods led to healing of the skin changes with a slight scar. There was no clinical recurrence after 5 month of follow-up.

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