Recurrent eruptions following unusual solitary coelenterate envenomations

The case history of four patients is presented. The first patient exhibited normal immunologic reactions to large artificial intradermal challenge with jellyfish venom and, later, multiple small natural stings. The second patient, presumably envenomated by a jellyfish, had four recurrent cutaneous e...

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Bibliographic Details
Published inJournal of the American Academy of Dermatology Vol. 17; no. 1; pp. 86 - 92
Main Authors Burnett, Joseph Warren, Hepper, Kelton P., Aurelian, Laure, Calton, Gary Jim, Gardepe, Sharon Foster
Format Journal Article
LanguageEnglish
Published New York, NY Mosby, Inc 01.07.1987
Elsevier
Subjects
Adult
Allergic diseases
B-Lymphocytes - immunology
Biological and medical sciences
Bites and Stings - complications
Bites and Stings - immunology
Bites and Stings - pathology
Child, Preschool
Cnidaria
Cnidarian Venoms - immunology
Cnidarian Venoms - pharmacology
Cross Reactions
Female
Humans
Hypersensitivity, Delayed - immunology
Immunoglobulins - analysis
Immunopathology
In Vitro Techniques
Killer Cells, Natural - drug effects
Killer Cells, Natural - immunology
Lymphokines - immunology
Lymphokines - metabolism
Male
Medical sciences
Middle Aged
Recurrence
Scyphozoa
Skin - immunology
Skin - pathology
Skin allergic diseases. Stinging insect allergies
Skin Diseases - etiology
Skin Diseases - immunology
Skin Diseases - pathology
Immunopathology
Coelenterata
Skin disease
Sting
Venom
Recurrent
Invertebrata
Dermatitis
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Summary:The case history of four patients is presented. The first patient exhibited normal immunologic reactions to large artificial intradermal challenge with jellyfish venom and, later, multiple small natural stings. The second patient, presumably envenomated by a jellyfish, had four recurrent cutaneous eruptions in a linear configuration at the same anatomic site. Because her primary coelenterate contact occurred at a time when she was receiving systemic corticosteroids, it is assumed that the eruption due to the initial sting was delayed. The third and fourth patients exhibited recurrent eruptions after solitary envenomations by different coelenterates. These case histories demonstrate that multiple recurrent eruptions may follow solitary envenomations by different subphyla of coelenterates, that the initial emption induced by the sting may be delayed by the administration of high doses of systemic corticosteroids, and that an immunologic reaction in both the B and T cell systems can follow jellyfish envenomation.
ISSN:0190-9622
1097-6787
DOI:10.1016/S0190-9622(87)70177-7