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    Rhizostoma Pulmo: Irritant Contact Dermatitis From The Jellyfish

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    Sarly Febriana
    The document discusses a case of irritant contact dermatitis from contact with the jellyfish Rhizostoma pulmo in the Mediterranean Sea. There is debate around the toxicity of R. pulmo to humans. The case report describes a 47-year-old man who experienced burning and an erythematous rash after accidental contact while swimming. This case supports the toxicity of R. pulmo and irritant contact dermatitis as a possible reaction.

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    Rhizostoma Pulmo: Irritant Contact Dermatitis From The Jellyfish

    Uploaded by

    Sarly Febriana
    52 views2 pages
    The document discusses a case of irritant contact dermatitis from contact with the jellyfish Rhizostoma pulmo in the Mediterranean Sea. There is debate around the toxicity of R. pulmo to humans. The case report describes a 47-year-old man who experienced burning and an erythematous rash after accidental contact while swimming. This case supports the toxicity of R. pulmo and irritant contact dermatitis as a possible reaction.

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    kokelj2002

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    The document discusses a case of irritant contact dermatitis from contact with the jellyfish Rhizostoma pulmo in the Mediterranean Sea. There is debate around the toxicity of R. pulmo to humans. The case report describes a 47-year-old man who experienced burning and an erythematous rash after accidental contact while swimming. This case supports the toxicity of R. pulmo and irritant contact dermatitis as a possible reaction.

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    © All Rights Reserved
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    52 views2 pages

    Rhizostoma Pulmo: Irritant Contact Dermatitis From The Jellyfish

    Uploaded by

    Sarly Febriana
    The document discusses a case of irritant contact dermatitis from contact with the jellyfish Rhizostoma pulmo in the Mediterranean Sea. There is debate around the toxicity of R. pulmo to humans. The case report describes a 47-year-old man who experienced burning and an erythematous rash after accidental contact while swimming. This case supports the toxicity of R. pulmo and irritant contact dermatitis as a possible reaction.

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    of 2

    CONTACT DERMATITIS 2002: 46: 179–180 O ISSN 0105-1873 O COPYRIGHT C BLACKWELL MUNKSGAARD 2002 O ALL RIGHTS RESERVED

    O CONTRIBUTIONS TO THIS SECTION WILL NOT UNDERGO PEER REVIEW, BUT WILL BE REVIEWED BY THE EDITOR O

    available for Aurelia aurita and Rhi- of dried specimens of Rhizostoma


    Irritant contact dermatitis zostoma pulmo (1). pulmo; and Evans reports both urti-
    from the jellyfish Many authors consider Rhizosto- caria and systemic symptoms follow-
    ma pulmo completely harmless to ing Rhizostoma pulmo stings (3).
    Rhizostoma pulmo humans. The rare dermatites re- Our case is the first documented
    ported are described as slight ery- report of irritant contact dermatitis
    F. Kokelj and C. Plozzer
    themas disappearing spontaneously due to Rhizostoma pulmo and, in our
    after a few hours (2). In contrast, Ey- opinion, this puts an end to the
    Institute of Dermatology, University of senhardt reports that this jellyfish controversy about the dermotoxicity
    Trieste, Via Stock 2, 34100 Trieste, Italy produces a burning sensation on the of Rhizostoma pulmo and confirms
    skin and particularly on the lips; Von the toxicity of this kind of jellyfish
    Zyneck claims that sneezing and for man. Moreover, we add that, over
    Key words: irritant contact dermatitis; rhinorrhea can follow the handling the same period of time, we observed
    jellyfish; marine organism; Rhizostoma
    pulmo; scyphomedusa.

    Rhizostoma pulmo is a very common


    schyphomedusa which usually ap-
    pears in small swarms on the surface
    of the Mediterranean Sea during the
    bathing season. It is in the shape of
    a large domed-bell which may be
    opaque or almost transparent, either
    white or multicoloured. The diam-
    eter of the bell varies from 15 to 60
    cm (Fig. 1). The dermotoxicity of
    Rhizostoma pulmo is still in dispute.

    Case Report
    A 47-year-old man was burned on
    accidental contact with Rhizostoma
    pulmo while swimming in the coastal Fig. 1. Rhizostoma pulmo in the waters of the Gulf of Trieste.
    waters of the Gulf of Trieste. After
    contact, he felt an instant cutaneous
    pain and promptly washed the dam-
    aged skin of the arm with seawater.
    An erythematous, slightly infiltrated
    eruption appeared on the skin, with
    subsequent small vesicles (Fig. 2).
    Despite immediate application of a
    corticosteroid cream, the lesion last-
    ed for several hours; the pain, which
    reached its peak a few minutes after
    the sting, disappeared spontaneously
    11/2 days later.

    Discussion
    There are 5 species of jellyfish in the
    Mediterranean Sea that are danger-
    ous to humans. At present there is no
    question about the toxicity of Pelag-
    ia noctiluca, Chrysaora hysoscella
    and Carybdea marsupialis, while Fig. 2. The erythematous vescicular eruption of the arm after contact with Rhizosto-
    there is no agreement on the data ma pulmo.
    180 CONTACT POINT

    3 other cases, 1 female and 2 males in A, Fenner P J, Burnett J W (eds.): Cambridge: Cambridge University
    all of whom the clinical picture and Venomous and poisonous marine ani- Press, 1970: 284.
    course of the dermatitis was similar mals. Sydney: University of New
    to that described in this report. South Wales Press, 1996: 286–291. Address:
    2. Fenner P. Marine stingers. In: 63rd F. Kokelj
    Annual Report, 1992–93. Newstead. Institute of Dermatology
    Qld: Surf Life Saving Queensland: University of Trieste, Via Stock, 2,
    39–41. 34100 Trieste
    References 3. Russell F S. The Medusae of the Italy
    1. Kokelj F. Jellyfish stingings in the British Isles: Pelagic Scyphozoa, Vol. Tel: π39 40 3997815
    Mediterranean Sea. In: Williamson J II, Hydromedusae Vol. I (Suppl): Fax: π39 40 3997837

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