Hsieh Clifford, Aronson Erica R, Ruiz de Luzuriaga Arlene M
Section of Dermatology, Department of Medicine, University of Chicago, Illinois, USA.
Cutis. 2016 Nov;98(5):303-305.
Injuries from sea urchin spines are commonly seen in coastal regions with high levels of participation in water activities. Although these injuries may seem minor, the consequences vary based on the location of the injury. Sea urchin spine injuries may cause arthritis and synovitis from spines in the joints. Nonjoint injuries have been reported, and dermatologic aspects of sea urchin spine injuries rarely have been discussed. We present a case of a patient with sea urchin spines embedded in the thigh who subsequently developed painful skin nodules. Tissue from the site of the injury demonstrated foreign-body type granulomas. Following the removal of the spines and granulomatous tissue, the patient experienced resolution of the nodules and associated pain. Extraction of sea urchin spines can attenuate the pain and decrease the likelihood of granuloma formation, infection, and long-term sequelae.
海胆刺造成的损伤在参与水上活动程度高的沿海地区很常见。尽管这些损伤看似轻微，但后果因损伤部位而异。海胆刺损伤可能会因关节内的刺而导致关节炎和滑膜炎。已有非关节损伤的报道，但海胆刺损伤的皮肤方面很少被讨论。我们报告一例大腿内嵌有海胆刺的患者，该患者随后出现疼痛性皮肤结节。损伤部位的组织显示为异物型肉芽肿。在去除刺和肉芽肿组织后，患者的结节和相关疼痛得到缓解。取出海胆刺可减轻疼痛，并降低肉芽肿形成、感染及长期后遗症的可能性。
