This report describes the case of a teenager stung by a Pacific bluebottle jellyfish (Physalia utriculus) in Hawaii, who subsequently developed classical lesions of granuloma annulare. It is speculated that various toxic substances found in the complex venom of this particular coelenterate may be responsible for initiating the pathophysiologic mechanism.
Burnett, J.W., Calton, G.J., Burnett, H.W. and Mandojana, R.M. Local and systemic reactions from jellyfish stings. In: Mandojana, R.M. ed., Aquatic Dermatology. Clinics in Dermatology5, 1987:14–28.
2.
PascherF.SulzburgerM.B.SatensteinD.L.Histologic studies of reactions to intracutaneous tests in allergy of infections to humans. J Immunol1943; 46, 195–206
3.
FisherI.An unusual histologic change seen in the intracutaneous tuberculin reaction. J Invest Dermatol1954; 23, 233–235
4.
BeerW.E.JonesE.W.Granuloma annulare following tuberculin Heaf tests. Trans St Johns Hosp Dermatol Soc1966; 52, 68–70
5.
GrillM.A.GoetteD.R.Granuloma annulare at sites of healing herpes zoster. Arch Dermatol1978; 116, 1383
6.
FriedmanS.J.FoxB.J.AlbertH.L.Granuloma annulare arising in herpes zoster scars. J Am Acad Dermatol1986; 14, 764–770
7.
WardW.H.Warts and granuloma annulare. Br Med J1956; 2, 1484
FulghumD.D.Octopus bite resulting in granuloma annulare. South Med J.1986; 79, 1434–1436
13.
UmbertP.WinkelmannR.K.Granuloma annulare: Direct immunofluorescence study. Br J Dermatol1976; 95, 487–4921976
14.
DabskiK.WinkelmannR.K.Generalized granuloma annulare: Clinical and laboratory findings in 100 patients. J Am Acad Dermatol1989; 20, 39–47
15.
PenneysN.S.HicksB.Unusual cutaneous lesions associated with acquired immunodeficiency syndrome. J Am Acad Dermatol1985; 13, 485–552
16.
GhadiallyR.SibbaldR.G.WalterJ.B.HabermanH.F.Granuloma annulare in patients with human immunodeficiency virus infections. J Am Acad Dermatol1989; 20, 232–235
17.
MatusowR.J.Oral inflammatory response to a sting from a Portuguese man-of-war. JADA1980; 100, 73–75
18.
BurnettJ.W.CaltonG.J.The chemistry and toxicology of some venomous pelagic coelenterates. Toxicon1977; 15, 177–196
19.
RussellF.E.Marine toxins and venomous and poisonous marine animals. . In: Advances in marine biology, vol 3. New York: Academic Press Inc, 1975: 255–324
20.
ReedK.M.BronsteinB.R.BadenH.P.Delayed and persistent cutaneous reactions to coelenterates. J Am Acad Dermatol1984; 10, 462–466
