Manabe Yasuaki, Mabuchi Tomotaka, Kawai Mayu, Ota Tami, Ikoma Norihiro, Ozawa Akira, Horita Takushi
Department of Dermatology, Tokai University School of Medecine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2014 Sep 20;39(3):90-4.
A 7-year-old boy, taking lessons at a yacht school at Enoshima in Kanagawa prefecture in Japan, recognized a linear eruption on his left lower leg during practice in August 2012. As it gradually enlarged, he visited a local medical clinic. The eruption initially improved with topical treatment but exacerbated in October of the same year. Although topical treatment was started again, there was minimal improvement, so the patient visited our hospital in December. At his first visit, he had a hard linear nodule on his left lower leg, and papules with excoriation were scattered over the lower limbs. Considering eczema, topical steroid treatment and occlusive dressing technique were started but the nodule remained. Based on the clinical course, clinical features, and laboratory findings, the lesion was considered to be delayed flare-up allergic dermatitis caused by a jellyfish sting [1].
一名7岁男孩于2012年8月在日本神奈川县江之岛的一所游艇学校上课期间,在练习时发现左小腿出现线状皮疹。随着皮疹逐渐扩大,他前往当地一家诊所就诊。皮疹最初经局部治疗有所改善,但同年10月病情加重。尽管再次开始局部治疗,但改善甚微,因此患者于12月来我院就诊。初诊时,他左小腿有一个坚硬的线状结节,下肢散在有伴有抓痕的丘疹。考虑为湿疹,开始局部使用类固醇治疗及采用封闭敷料技术,但结节依然存在。根据临床病程、临床特征及实验室检查结果,该病变被认为是由水母蜇伤引起的迟发性过敏性皮炎[1]。