Long-term management options for sea urchin injury: a case series

Author:

James Mariel1,Bakkour Waseem1,Checkley Anna2,Calonje Eduardo34,Walker Stephen L.125ORCID

Affiliation:

1. Department of Dermatology University College London Hospitals NHS Foundation Trust London UK

2. Hospital for Tropical Diseases University College London Hospitals NHS Foundation Trust London UK

3. St John's Institute of Dermatology London UK

4. Department of Dermatology King's College London London UK

5. Faculty of Infectious and Tropical Diseases London School of Hygiene and Tropical Medicine London UK

Abstract

Abstract In the UK, sea urchin-related injuries (SUIs) most commonly present in returning travellers. Delayed complications mainly affect the skin but nerves, tendons, joints and bones may also be involved. The management of chronic reactions may be challenging and a variety of approaches have been described. Surgical measures are often undertaken, particularly when retained spines are suspected. We demonstrate, through three cases presenting in the UK with chronic SUIs, that conservative management, surgery and intralesional corticosteroids may all be associated with satisfactory outcomes. Management options should consider the presence of retained spines, injury site, symptoms and importantly, patient preference.

Publisher

Oxford University Press (OUP)

Subject

Dermatology

Reference10 articles.

1. Sea urchin injuries: a review and clinical approach algorithm;Schwartz;J Dermatolog Treat,2021

2. Observation of initial clinical manifestations and repercussions from the treatment of 314 human injuries caused by black sea urchins (Echinometra lucunter) on the southeastern Brazilian coast;Haddad;Rev Soc Bras Med Trop,2012

3. Sea-urchin granuloma: histologic profile. A pathologic study of 50 biopsies;De La Torre;J Cutan Pathol,2001

4. Tropical dermatology: marine and aquatic dermatology;Haddad;J Am Acad Dermatol,2009

5. Arthritis, tenosynovitis, fasciitis, and bursitis due to sea urchin spines. A series of 12 cases in Réunion Island;Guyot-Drouot;Joint Bone Spine,2000

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Sea urchin granuloma: a chronic complication of sea urchin spine injuries;QJM: An International Journal of Medicine;2023-10-13

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