ACUTE Diarrhea and Skin Symptoms
Acute, sudden onset diarrhea occurring together with skin symptoms, like itch, tingling, swelling or rash may be caused by:
- Childhood viral infections, like measles, scarlatina, rubella, chicken pox, infectious mononucleosis
- Food allergies may cause itchy skin and urticaria (a patchy, pinkish, slightly raised bumpy or patchy rash, known as hives) - due to histamine released in the skin.
- Ciguatera fish poisoning after eating big tropical fish, like barracuda (Picture 1), amberjack, grouper, snapper, sturgeon, king mackerel or moray eel that have accumulated ciguatoxin from reef algae, mainly present in the Caribbean Sea, Gulf of Mexico, Bahamas, Hawaii, Indonesia, Micronesia or Australia (1). Symptoms – diarrhea, dizziness, lips or skin tingling and reversal of hot and cold sensation – may start from few minutes to 30 hours after fish intake, may last from several days to years (ciguatoxin is dissolved in body fats and then slowly released) and cease on their own through the time. There is no known diagnostic test and treatment for ciguatera poisoning; prevention is by avoiding eating big tropical fish.
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Picture 1. Jock itch – Tinea cruris (source: Samuel Freire da Silva, M.D.,