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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: domenico.bonamonte@uniba.it Ambulatorio: 080 5592626

Cellulare: 3384684021

Ambulatorio di Dermatologia Pediatrica

E-mail: domenico.bonamonte@uniba.it Ambulatorio: 080 5592626

Cellulare: 3384684021

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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

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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

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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???

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Dermatite da anemoni di mare

Dermatite da anemoni di mare

Dermatite da anemoni di mare

Dermatite da anemoni di mare

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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

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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

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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

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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

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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

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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

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AMBULATORIO DI DERMATOLOGIA PEDIATRICA E-mail: domenico.bonamonte@uniba.it

Ambulatorio: 080 5592626 Cellulare: 338 4684021

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