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July 1996

Raynaud's Phenomenon Secondary to Weever Fish Stings

Author Affiliations

Department of Dermatology Istituto San Gallicano Via San Gallicano 25/A 00153 Rome, Italy

Arch Dermatol. 1996;132(7):838-839. doi:10.1001/archderm.1996.03890310130027

Weever fish (Trachinus species) stings are frequent summer accidents in the coastal towns of Italy. Patients usually present with intense pain in the affected part (usually the foot or, less frequently, the hand), followed within a few hours by spreading erythema and edema. Rarely, systemic symptoms occur, including hypotension and depressed respirations. Death is possible, but extremely rare.1 Recently, we have noted Raynaud's phenomenon occurring some weeks after a weever fish sting.

Report of a Case.  A 47-year-old man who was swimming near the beach in August 1994, was stung on the fourth finger of the right hand by a weever fish that was hidden under the sand. Following the sting, the injured finger was immersed in ice water several times for a few minutes over a 2-hour period to relieve the intense pain. During the following days the whole finger became erythematous and edematous. Two weeks later, a

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