Sea urchin injuries: a review and clinical approach algorithm

Schwartz, Ziv; Cohen, Marc; Lipner, Shari R.

doi:10.1080/09546634.2019.1638884

Cited by 10 publications

(20 citation statements)

References 53 publications

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“…In general, spines embedded near joints, tendons or neurovascular structures pose a risk for delayed complications and thus early specialist surgical intervention is recommended. 1 Surgical complications at such sites can adversely affect function but the risks are usually outweighed by those from ensuing inflammation without treatment. 1 However, in our series, Patient 2 had a satisfactory outcome without surgery.…”

Section: Reportmentioning

confidence: 99%

“…Globally, injuries are most commonly seen in divers, snorkellers and fishermen. 1 Sea urchins are slow-moving, marine bottom-dwelling organisms. Their spines, which can contain toxins, can cause penetrating injuries, usually to the extremities.…”

mentioning

confidence: 99%

“…4 Delayed complications are most common in patients with retained spines, and can include synovitis/ tenosynovitis, neuropathy (from direct nerve injury), arthropathy and bursitis, bone destruction and osteomyelitis. 1,2,5 Chronic granulomatous and nongranulomatous cutaneous reactions to SUI and foreign material can also occur. 3,6 Although healthcare practitioners may be confident with early treatment (hot water soaks, removing spines, considering tetanus vaccination and antibiotics 1,2 ), the management of chronic cutaneous reactions and retained spines may be more challenging.…”

mentioning

confidence: 99%

“…1,2,5 Chronic granulomatous and nongranulomatous cutaneous reactions to SUI and foreign material can also occur. 3,6 Although healthcare practitioners may be confident with early treatment (hot water soaks, removing spines, considering tetanus vaccination and antibiotics 1,2 ), the management of chronic cutaneous reactions and retained spines may be more challenging.…”

mentioning

confidence: 99%

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Long-term management options for sea urchin injury: a case series

James

Bakkour

Calonje

et al. 2022

Clinical and Experimental Dermatology

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In the UK, sea urchin-related injuries (SUIs) most commonly present in returning travellers. Delayed complications mainly affect the skin but nerves, tendons, joints and bones may also be involved. The management of chronic reactions may be challenging and a variety of approaches have been described. Surgical measures are often undertaken, particularly when retained spines are suspected. We demonstrate, through three cases presenting in the UK with chronic SUIs, that conservative management, surgery and intralesional corticosteroids may all be associated with satisfactory outcomes. Management options should consider the presence of retained spines, injury site, symptoms and importantly, patient preference.

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Section: Reportmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Long-term management options for sea urchin injury: a case series

James

Bakkour

Calonje

et al. 2022

Clinical and Experimental Dermatology

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“…Dermoscopy with a transilluminating light source and standard magnifying optics increases clinical diagnostic accuracy. 1 The equipment is portable and does not confer harmful effects; hence, it can be easily used in outpatient clinics. In general, dermoscopy not only improves the clinical detection of various diseases, but also increases the accuracy of the procedure by enabling visual inspection.…”

mentioning

confidence: 99%

Use of dermoscopy after punch removal of a veiled sea urchin spine

Park

Choi

et al. 2021

Dermatologic Therapy

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With the increasing number of marine sports activities performed for leisure, cutaneous injuries caused by sea urchin spines have become common. Such injuries may cause immediate reactions such as local pain, erythema, and edema or delayed reactions such as arthritis and granuloma formation. To reduce the risk of complications, immediate extraction of the sea urchin spines after the initial injury is important. 1

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Stings and Bites

Siller,

Miller,

Tyring

2024

Rook's Textbook of Dermatology

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Stings and bites serve as a natural form of defense for aquatic and terrestial life. These defenses have garnered recognition and respect from the medical community as a significant cause of morbidity and mortality worldwide. Envenomation or infection are often the result of close encounters with wildlife and at times can be life‐threatening. Therefore, medical providers should be aware of their variable clinical presentations and the available treatment options or lack thereof. In this chapter we discuss the clinical manifestations and management options for stings and bites from a diverse group of marine and terrestial species.

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Sea urchin injuries: a review and clinical approach algorithm

Cited by 10 publications

References 53 publications

Long-term management options for sea urchin injury: a case series

Long-term management options for sea urchin injury: a case series

Use of dermoscopy after punch removal of a veiled sea urchin spine

Stings and Bites

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