{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T21:35:07Z","timestamp":1774992907448,"version":"3.50.1"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["An. Bras. Dermatol."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>Contact between humans and coastal areas has increased in recent decades, which has led to an increase in injuries from aquatic animals. The majority of these present dermatological manifestations, and some of them show typical lesions. The highest percentages of injuries that occur in marine environments are associated with invertebrates such as sea urchins, jellyfish and Portuguese men-of-war (echinoderms and cnidarians). In this review, we discuss the clinical, therapeutic and preventive aspects of injuries caused by marine and freshwater invertebrates, focusing on first aid measures and diagnosis for dermatologists and professionals in coastal areas.<\/jats:p>","DOI":"10.1590\/abd1806-4841.20132587","type":"journal-article","created":{"date-parts":[[2013,10,2]],"date-time":"2013-10-02T21:58:39Z","timestamp":1380751119000},"page":"496-506","source":"Crossref","is-referenced-by-count":28,"title":["Environmental dermatology: skin manifestations of injuries caused by invertebrate aquatic animals"],"prefix":"10.1590","volume":"88","author":[{"given":"Vidal","family":"Haddad Junior","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Avalia\u00e7\u00e3o Epidemiol\u00f3gica, Cl\u00ednica e Terap\u00eautica de Acidentes Provocados por Animais Pe\u00e7onhentos Marinhos na Regi\u00e3o Sudeste do Brasil (thesis)","author":"Haddad V","year":"1999"},{"key":"ref2","series-title":"Atlas de animais aqu\u00e1ticos perigosos do Brasil: guia m\u00e9dico de diagn\u00f3stico e tratamento de acidentes","author":"Haddad V","year":"2000"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1590\/S0037-86822003000500009","article-title":"Animais aqu\u00e1ticos de import\u00e2ncia m\u00e9dica","volume":"36","author":"Haddad V","year":"2003","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref4","series-title":"Animais aqu\u00e1ticos potencialmente perigosos do Brasil: guia m\u00e9dico e biol\u00f3gico","author":"Haddad V","year":"2008"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.jaad.2009.01.046","article-title":"Tropical dermatology: Marine and Aquatic dermatology","volume":"61","author":"Haddad V","year":"2009","journal-title":"J Am Acad Dermatol"},{"key":"ref6","series-title":"Forum in the Meeting of the American Academy of Dermatology","volume-title":"Coastal and marine dermatology","author":"Burke WA","year":"1997"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1590\/S0074-02762006000800013","article-title":"Freshwater sponge spicules: a new agent of ocular pathology","volume":"101","author":"Volkmer-Ribeiro C","year":"2006","journal-title":"Mem Inst Oswaldo Cruz"},{"key":"ref8","series-title":"A Colour Atlas of Dangerous Marine Animals","author":"Halstead BW","year":"1990"},{"key":"ref9","series-title":"Atlas of aquatic dermatology","author":"Fisher AA","year":"1978"},{"key":"ref10","series-title":"Clinical toxicology of animal venoms and poisons","author":"Meier J","year":"1995"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.tmaid.2012.09.007","article-title":"Epidemiology of the cnidarian Physalia physalis stings attended at a health care center in beaches of Adicora, Venezuela","volume":"10","author":"Cazorla-Perfetti DJ","year":"2012","journal-title":"Travel Med Infec Dis"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/S0041-0101(02)00162-9","article-title":"A report of 49 cases of cnidarian envenoming from southeastern Brazilian coastal waters","volume":"40","author":"Haddad V","year":"2002","journal-title":"Toxicon"},{"key":"ref13","first-page":"84","article-title":"Injuries with high percentage of systemic findings caused by the cubomedusa Chiropsalmus quadrumanus (Cnidaria) in Southeast region of Brazil: report of ten cases","volume":"36","author":"Haddad V","year":"2003","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1590\/S0365-05962012000400025","article-title":"Envenoming caused by a Portuguese man-ofwar (Physalia physalis) manifesting as purpuric papules","volume":"87","author":"Risk JY","year":"2012","journal-title":"An Bras Dermatol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1590\/S0036-46652010000100008","article-title":"Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of the accidents on the Brazilian coast","volume":"52","author":"Haddad V","year":"2010","journal-title":"Rev Inst Med Trop S\u00e3o Paulo"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1542\/peds.70.6.979","article-title":"Hemolysis and acute renal failure following a Portuguese man-of'-war sting","volume":"70","author":"Guess HA","year":"1982","journal-title":"Pediatrics"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/S0190-9622(86)70013-3","article-title":"Jellyfish envenomation syndromes","volume":"14","author":"Burnett JW","year":"1986","journal-title":"J. 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