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29 July 2024 : Review article  

Jellyfish Stings: A Review of Skin Symptoms, Pathophysiology, and Management

Xiao Peng1CDEF, Ke-tong Liu1CEF, Jing-bo Chen123CDEF, Zi-hao Yan1CF, Blessing Danso1CD, Ming-ke Wang ORCID logo4ACDEF*, Zhao-yun Peng123ACDEF, Liang Xiao123ACDEF

DOI: 10.12659/MSM.944265

Med Sci Monit 2024; 30:e944265

Table 1 Geographical distribution and skin effects of the stinging jellyfish.

SpeciesGeographical DistributionSkin effectsReferences
Common on the northern and eastern coasts of Australia and New GuineaImmediate pain, line or border erythema, urticaria, edema, wheals, blister, superficial necrosis and wide, ladder-like rash[–]68
Tropical Indo-Pacific region, Japan, PhilippinesPain, skin eruptions, combined with urticaria; vesicles, hemorrhaging or necrotizing lesions; delayed reactions such as pruritic urticarial lesions[]71
East Asian marginal seas, principally along the coasts of China, Korea, and JapanRedness, oedema, itching, immediate pain and inflammation[]72
Mediterranean Sea, Red Sea, Levantine Sea, Italy, Tunisia and SardiniaImmediate redness, burning sensation and skin eruptions; severe delayed skin reactions such as erythema with papulovesicular eruptions and urticaria-like eruptions[,]73
Caribbean, Gulf of Mexico, Florida, Benin, Brazil, Cuba and BahamasSeabather’s eruption, erythematous papules, macules, especially in the areas covered by swimwear; intense itching, acneiform type lesions; some progressed to pustules[,]20
Philippines, Malaysia and MadagascarSeabather’s eruption, intensely pruritic erythematous papules, urticarial and vesicular papules[,]22
A global distribution, common in the northern and eastern Atlantic, Mediterranean Sea and North PacificRedness, immediate pain, itching, urticaria, edema, a burning sensation, vesicles, papules and/or scabs[–]75
Eastern and western Mediterranean Sea, Adriatic Sea, Ionian Sea, Ligurian Sea, Tunisian waters and Black SeaA medium-severity sting, erythemas, urticaria, ulcerous lesions, small blisters, a burning sensation and recurrent cutaneous eruptions[,,]44
Globally between ca. 70°N to 55°S, nearshore distribution in temperate regions of Europe, North America, and JapanA burning pain, oedema, erythema, urticaria, ulceration, necrosis and recurrent cutaneous eruptions[,]17
Worldwide, common in tropical and subtropical areas of the Pacific, Atlantic, and Indian OceansAtrophy of subcutaneous tissue, blister, edema, erythema, keloids, linear plaques pain, necrosis, pigmentation, pruritus and recurrent rash[,–]16
Worldwide, more common in North Sea, North Atlantic, Arctic Sea, North PacificEdema, a burning sensation, erythema, pain, redness, wheals[,,,,]18
Caribbean Sea, Hawaii, tropical and subtropical areas of Atlantic Ocean, North and South Pacific OceanImmediate pain, itching, persistent skin lesions, erythematous dermatitis that may be papulovesicular, hemorrhagic, or necrotic[,–]12
Pacific Ocean, primarily in the sea along the coast of Japan and AustraliaPain, erythema, wheal and papulo-vesicular lesions with pruritus[,,]75
ca. – circa; N – north latitude; S – south latitude.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750