Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca

Jellyfish are aquatic animals of the phylum Cnidaria found in seas all over the world. They are characterized by the presence of cnidocytes, cells that contain a secretory organelle, the cnidocyst, mainly used for predation and defense purposes. An adult female patient presented to our Unit of Derma...

Full description

Bibliographic Details
Main Authors: Giovanni Paolino, Matteo Riccardo Di Nicola, Riccardo Pampena, Vittoria Giulia Bianchi, Santo Raffaele Mercuri
Format: Article
Language:English
Published: Karger Publishers 2023-07-01
Series:Case Reports in Dermatology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/529049
_version_ 1797745905662689280
author Giovanni Paolino
Matteo Riccardo Di Nicola
Riccardo Pampena
Vittoria Giulia Bianchi
Santo Raffaele Mercuri
author_facet Giovanni Paolino
Matteo Riccardo Di Nicola
Riccardo Pampena
Vittoria Giulia Bianchi
Santo Raffaele Mercuri
author_sort Giovanni Paolino
collection DOAJ
description Jellyfish are aquatic animals of the phylum Cnidaria found in seas all over the world. They are characterized by the presence of cnidocytes, cells that contain a secretory organelle, the cnidocyst, mainly used for predation and defense purposes. An adult female patient presented to our Unit of Dermatology, for a 10 days-old history of macular-erythematous lesions in her right upper limb, due to a sting by a mauve stinger Pelagia noctiluca. Dermoscopy showed a general pinkish background surmounted by numerous brown dots and lines, distributed along the surface of the skin. Reflectance confocal microscopy (RCM) showed the presence of multiple partially hyperreflective, highly coiled, hollow, and harpoonlike structures through the epidermis but without the barbed tubes found in a previous RCM report, likely due to a greater time elapsed between the sting and the dermatological visit. This case highlights how dermoscopy and RCM may help clinicians for the diagnosis of jellyfish stings.
first_indexed 2024-03-12T15:29:35Z
format Article
id doaj.art-70f0c0acdfb34fd1a50aef81799b283e
institution Directory Open Access Journal
issn 1662-6567
language English
last_indexed 2024-03-12T15:29:35Z
publishDate 2023-07-01
publisher Karger Publishers
record_format Article
series Case Reports in Dermatology
spelling doaj.art-70f0c0acdfb34fd1a50aef81799b283e2023-08-10T08:11:07ZengKarger PublishersCase Reports in Dermatology1662-65672023-07-0115110510910.1159/000529049529049Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctilucaGiovanni Paolino0Matteo Riccardo Di Nicola1https://orcid.org/0000-0001-7199-0804Riccardo Pampena2Vittoria Giulia Bianchi3Santo Raffaele Mercuri4Unit of Dermatology and Cosmetology, IRCCS Ospedale San Raffaele, Milan, ItalyUnit of Dermatology and Cosmetology, IRCCS Ospedale San Raffaele, Milan, ItalyUnit of Dermatology and Cosmetology, IRCCS Ospedale San Raffaele, Milan, ItalyUnit of Dermatology and Cosmetology, IRCCS Ospedale San Raffaele, Milan, ItalyUnit of Dermatology and Cosmetology, IRCCS Ospedale San Raffaele, Milan, ItalyJellyfish are aquatic animals of the phylum Cnidaria found in seas all over the world. They are characterized by the presence of cnidocytes, cells that contain a secretory organelle, the cnidocyst, mainly used for predation and defense purposes. An adult female patient presented to our Unit of Dermatology, for a 10 days-old history of macular-erythematous lesions in her right upper limb, due to a sting by a mauve stinger Pelagia noctiluca. Dermoscopy showed a general pinkish background surmounted by numerous brown dots and lines, distributed along the surface of the skin. Reflectance confocal microscopy (RCM) showed the presence of multiple partially hyperreflective, highly coiled, hollow, and harpoonlike structures through the epidermis but without the barbed tubes found in a previous RCM report, likely due to a greater time elapsed between the sting and the dermatological visit. This case highlights how dermoscopy and RCM may help clinicians for the diagnosis of jellyfish stings.https://beta.karger.com/Article/FullText/529049cnidariaconfocal microscopyenvenomationmauve stingerreflectance confocal microscopy
spellingShingle Giovanni Paolino
Matteo Riccardo Di Nicola
Riccardo Pampena
Vittoria Giulia Bianchi
Santo Raffaele Mercuri
Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
Case Reports in Dermatology
cnidaria
confocal microscopy
envenomation
mauve stinger
reflectance confocal microscopy
title Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
title_full Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
title_fullStr Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
title_full_unstemmed Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
title_short Reflectance Confocal Microscopy of Skin after the Sting of the Jellyfish Pelagia noctiluca
title_sort reflectance confocal microscopy of skin after the sting of the jellyfish pelagia noctiluca
topic cnidaria
confocal microscopy
envenomation
mauve stinger
reflectance confocal microscopy
url https://beta.karger.com/Article/FullText/529049
work_keys_str_mv AT giovannipaolino reflectanceconfocalmicroscopyofskinafterthestingofthejellyfishpelagianoctiluca
AT matteoriccardodinicola reflectanceconfocalmicroscopyofskinafterthestingofthejellyfishpelagianoctiluca
AT riccardopampena reflectanceconfocalmicroscopyofskinafterthestingofthejellyfishpelagianoctiluca
AT vittoriagiuliabianchi reflectanceconfocalmicroscopyofskinafterthestingofthejellyfishpelagianoctiluca
AT santoraffaelemercuri reflectanceconfocalmicroscopyofskinafterthestingofthejellyfishpelagianoctiluca