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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References
- Clinical perspectives on seabather's eruption, also known as “sea lice.”.JAMA. 1993; 269: 1669-1672
- Seabather's eruption.N Engl J Med. 1993; 329: 542-544
- Marine and other aquatic dermatoses.Indian J Dermatol. 2017; 62: 66-78
Article info
Publication history
Published online: March 18, 2020
Accepted:
March 11,
2020
Received:
November 13,
2019
Footnotes
The authors have no conflicts of interest or sources of funding to disclose.
Identification
Copyright
© 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
