Images in the Medical Sciences| Volume 360, ISSUE 1, P81, July 2020

Seabather's Eruption

      A 48-year-old hypertensive female presented with a 4-day history of intensely pruritic skin eruptions over the waist. A few days prior to onset of symptoms, she had gone ocean swimming wearing a “salwar-kameez” (a traditional Indian outfit comprising of pajama-like trousers held by a drawstring at the waist and a long shirt or tunic) in clear, waist-deep waters at a beach town overlooking the Indian Ocean. She complained of localized pruritus immediately after taking a shower without removing the affected clothing. Cutaneous examination revealed multiple erythematous papules, some excoriated, overlying the bilateral lumbar regions of abdomen (Figure). No other sites were affected. The typical history and cutaneous findings were consistent with the diagnosis of seabather's eruption. Oral levocetirizine (5 mg) and topical steroid (mometasone furoate cream) application led to complete resolution within a week.
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