STRANI CASI DI DERMATITE FIGURATA
Domenico Bonamonte
Clinica Dermatologica, Università di Bari STRANI CASI DI DERMATITE FIGURATA
Domenico Bonamonte
Clinica Dermatologica, Università di Bari Ambulatorio di Dermatologia Pediatrica
E-mail: [email protected] Ambulatorio: 080 5592626
Cellulare: 3384684021
Ambulatorio di Dermatologia Pediatrica
E-mail: [email protected] Ambulatorio: 080 5592626
Cellulare: 3384684021
29 luglio 2013
Bimbo di 9 anni
Consulenza dermatologica 29 luglio 2013
Bimbo di 9 anni
Consulenza dermatologica
Consulenza dermatologica
Lesioni papulose addome
Consulenza dermatologica
Lesioni papulose addome
30 luglio 2013
Bimba di 3 anni
Consulenza dermatologica 30 luglio 2013
Bimba di 3 anni
Consulenza dermatologica Consulenza dermatologica
Dermatite di n.d.d. arti inferiori Consulenza dermatologica
Dermatite di n.d.d. arti inferiori
Anamnesi
Poche ore dopo il mare (Cozze) Scogli affioranti
1°caso: bruciore
Anamnesi
Poche ore dopo il mare (Cozze) Scogli affioranti
1°caso: bruciore
2°caso: bruciore, edema,
impotenza funzionale
“sonnolenza”
Diagnosi???
2°caso: bruciore, edema,
impotenza funzionale
“sonnolenza”
Diagnosi???
Dermatite da anemoni di mare
Dermatite da anemoni di mare
Dermatite da anemoni di mare
Dermatite da anemoni di mare
Class: Scyphozoa (jellyfish)
Class: Anthozoa (sea anemones) Order: Sagartida
Class: Scyphozoa (jellyfish)
Class: Anthozoa (sea anemones) Order: Sagartida
TOXIC COELENTERATES TOXIC COELENTERATES
Order: Scleractinia (corals) Class: Hydrozoa
Order: Siphonophora (physaliae) Order: Leptomedusa (hydroids) Order: Milleporina
Order: Scleractinia (corals) Class: Hydrozoa
Order: Siphonophora (physaliae) Order: Leptomedusa (hydroids) Order: Milleporina
In 1902, Richet: anaphylaxis phenomenon Hypnotoxin (sonnolence, respiratory paralisis)
Thalaxin (urticaria, cardiac arrest)
Congestin (anaphylaxis, gastrointest. symptoms)
In 1902, Richet: anaphylaxis phenomenon Hypnotoxin (sonnolence, respiratory paralisis)
Thalaxin (urticaria, cardiac arrest)
Congestin (anaphylaxis, gastrointest. symptoms)
NEMATOCYST TOXINS NEMATOCYST TOXINS
Histamine, 5-Hydroxytryptamine Toxic and not poisonous
Heat and intestinal proteolytic enzymes inactivate toxins
Histamine, 5-Hydroxytryptamine Toxic and not poisonous
Heat and intestinal proteolytic enzymes inactivate toxins
MEDITERRANEAN SEA ANEMONES MEDITERRANEAN SEA ANEMONES
Anemonia sulcata Actinia equina
Condylactis aurantiaca Adamsia palliata
Anemonia sulcata Actinia equina
Condylactis aurantiaca Adamsia palliata
Adamsia palliata Aiptasia mutabilis Calliactis parasitica Adamsia palliata
Aiptasia mutabilis Calliactis parasitica Cover the sea bed
Display iridescent colours Red orange purple Cover the sea bed
Display iridescent colours
Red orange purple
SEA ANEMONES REACTIONS SEA ANEMONES REACTIONS
Rarely reported in literature
Much more marked symptoms
Very close and extensive contact When sitting or lying on rocks
Rarely reported in literature
Much more marked symptoms
Very close and extensive contact When sitting or lying on rocks
When sitting or lying on rocks Posterior face of thighs
Back, volar surface of wrists
Course of complaint: 15-30 days
Subjective and systemic symptoms When sitting or lying on rocks
Posterior face of thighs
Back, volar surface of wrists
Course of complaint: 15-30 days
Subjective and systemic symptoms
SYSTEMIC REACTION TO ANEMONIA SULCATA
SYSTEMIC REACTION TO ANEMONIA SULCATA
First case
9-year-old boy
Extensive figured lesions
Intense pain, headache, nausea, vomiting Bronchospastic crises, muscular cramps First case
9-year-old boy
Extensive figured lesions
Intense pain, headache, nausea, vomiting Bronchospastic crises, muscular cramps Bronchospastic crises, muscular cramps Second case
12-year-old girl
Extensive bullous dermatitis
Pain, nausea, vomiting, cramps Bronchospastic crises, headache
Bronchospastic crises, muscular cramps Second case
12-year-old girl
Extensive bullous dermatitis
Pain, nausea, vomiting, cramps Bronchospastic crises, headache
COELENTERATES DERMATITIS:
TREATMENT
COELENTERATES DERMATITIS:
TREATMENT
Remove tentacles
Old-wives’ remedies:
Vinegar, ammonia, urine (?)
Avoid freshwater, wash with seawater Remove tentacles
Old-wives’ remedies:
Vinegar, ammonia, urine (?)
Avoid freshwater, wash with seawater Avoid freshwater, wash with seawater No alcohol, perfumes and spirits
Heat saltwater
Local corticosteroids and anaesthetics Systemic treatment
Avoid freshwater, wash with seawater No alcohol, perfumes and spirits
Heat saltwater
Local corticosteroids and anaesthetics Systemic treatment
AMBULATORIO DI DERMATOLOGIA PEDIATRICA E-mail: [email protected]
Ambulatorio: 080 5592626 Cellulare: 338 4684021
