Sea Urchin Granuloma of the Hands: A Case Report

Penetrating wounds from sea urchin spines are marine injuries that may cause morbidity in humans. Seasonal fishing for abalone in Dhofar is associated with an increase in the number of these injuries, as divers may strike their extremities, especially the dorsum of hands and fingers, on the rocks wh...

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Main Authors: Lutfi Al-Kathiri, Tasneem Al-Najjar, Ibrahim Sulaiman
Format: Article
Language:English
Published: Oman Medical Specialty Board 2019-07-01
Series:Oman Medical Journal
Subjects:
Online Access:http://omjournal.org/articleDetails.aspx?coType=1&aId=2481
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author Lutfi Al-Kathiri
Tasneem Al-Najjar
Ibrahim Sulaiman
author_facet Lutfi Al-Kathiri
Tasneem Al-Najjar
Ibrahim Sulaiman
author_sort Lutfi Al-Kathiri
collection DOAJ
description Penetrating wounds from sea urchin spines are marine injuries that may cause morbidity in humans. Seasonal fishing for abalone in Dhofar is associated with an increase in the number of these injuries, as divers may strike their extremities, especially the dorsum of hands and fingers, on the rocks where Echinoderms and juvenile abalone (Haliotis mariae) are anchored. The immediate effect of injuries includes pain, edema, bleeding, erythema, and rarely systemic complications. There can be a delayed effect in the form of chronic granulomatous skin disease, which is a slow developing reaction to retained spine fragments in the wound that may take several months to develop. We report a case of sea urchin granulomas in a 45-year-old male who injured his hands by the spines of sea urchin while harvesting Haliotis mariae. Clinical manifestations, histological patterns, and treatment modalities are discussed here, to enhance the knowledge about these injuries and the available therapies.
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spelling doaj.art-156ad4aaeeef4838b7c13769c2630ecb2022-12-22T01:49:21ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042019-07-0134435035310.5001/omj.2019.68Sea Urchin Granuloma of the Hands: A Case ReportLutfi Al-Kathiri0Tasneem Al-Najjar1Ibrahim Sulaiman2Dermatology Department, Sultan Qaboos Hospital, Salalah, OmanDermatology Department, Sultan Qaboos Hospital, Salalah, OmanHistopathology Department, Sultan Qaboos Hospital, Salalah, OmanPenetrating wounds from sea urchin spines are marine injuries that may cause morbidity in humans. Seasonal fishing for abalone in Dhofar is associated with an increase in the number of these injuries, as divers may strike their extremities, especially the dorsum of hands and fingers, on the rocks where Echinoderms and juvenile abalone (Haliotis mariae) are anchored. The immediate effect of injuries includes pain, edema, bleeding, erythema, and rarely systemic complications. There can be a delayed effect in the form of chronic granulomatous skin disease, which is a slow developing reaction to retained spine fragments in the wound that may take several months to develop. We report a case of sea urchin granulomas in a 45-year-old male who injured his hands by the spines of sea urchin while harvesting Haliotis mariae. Clinical manifestations, histological patterns, and treatment modalities are discussed here, to enhance the knowledge about these injuries and the available therapies.http://omjournal.org/articleDetails.aspx?coType=1&aId=2481Sea UrchinsGranulomaForeign-BodySynovitisTenosynovitisMycobacterium Infections
spellingShingle Lutfi Al-Kathiri
Tasneem Al-Najjar
Ibrahim Sulaiman
Sea Urchin Granuloma of the Hands: A Case Report
Oman Medical Journal
Sea Urchins
Granuloma
Foreign-Body
Synovitis
Tenosynovitis
Mycobacterium Infections
title Sea Urchin Granuloma of the Hands: A Case Report
title_full Sea Urchin Granuloma of the Hands: A Case Report
title_fullStr Sea Urchin Granuloma of the Hands: A Case Report
title_full_unstemmed Sea Urchin Granuloma of the Hands: A Case Report
title_short Sea Urchin Granuloma of the Hands: A Case Report
title_sort sea urchin granuloma of the hands a case report
topic Sea Urchins
Granuloma
Foreign-Body
Synovitis
Tenosynovitis
Mycobacterium Infections
url http://omjournal.org/articleDetails.aspx?coType=1&aId=2481
work_keys_str_mv AT lutfialkathiri seaurchingranulomaofthehandsacasereport
AT tasneemalnajjar seaurchingranulomaofthehandsacasereport
AT ibrahimsulaiman seaurchingranulomaofthehandsacasereport