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Contributor

S E Junaid

Diagnosis

foreign body reaction fire coral foreign body reaction

Body Site

finger hand

Age

42 years

Pigmentation

light

Organization

grouped, clustered discrete confluent

Color

purple

Morphology

papule

Pattern

acral (centripetal - extremity predominant)

Comments

A 42-year-old Irishman went scuba diving in Thailand. At 5 meters he stopped to decompress but got caught in a strong under water current. He grabbed nearby fire coral with his bare hands to stop being swept away. Minutes later he had small itchy vesicles and hives on the dorsum of his hands but not his palm. That night the lesions turned red, increased in size and became very painful. No systemic side effects were reported. These images were taken 2 weeks after the incident. For 2 months he was treated with topical clobetasole cream and oral antihistamines and analgesia.

Description

A 42-year-old Irishman went scuba diving in Thailand. At 5 meters he stopped to decompress but got caught in a strong under water current. He grabbed nearby fire coral with his bare hands to stop being swept away. Minutes later he had small itchy vesicles and hives on the dorsum of his hands but not his palm. That night the lesions turned red, increased in size and became very painful. No systemic side effects were reported. These images were taken 2 weeks after the incident. For 2 months he was treated with topical clobetasole cream and oral antihistamines and analgesia.

Categories

environmental injury accidental injury granulomatous disorder

Image Added

6/23/2010 22:36:59

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Other Resources

PubMed Medline Plus Medscape

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