The genome of the colonial hydroid Hydractinia reveals that their stem cells use a toolkit of evolutionarily shared genes with all animals.

Hydractinia is a colonial marine hydroid that shows remarkable biological properties, including the capacity to regenerate its entire body throughout its lifetime, a process made possible by its adult migratory stem cells, known as i-cells. Here, we provide an in-depth characterization of the genomic structure and gene content of two Hydractinia species, Hydractinia symbiolongicarpus and Hydractinia echinata, placing them in a comparative evolutionary framework with other cnidarian genomes. We also generated and annotated a single-cell transcriptomic atlas for adult male H. symbiolongicarpus and identified cell-type markers for all major cell types, including key i-cell markers. Orthology analyses based on the markers revealed that Hydractinia's i-cells are highly enriched in genes that are widely shared amongst animals, a striking finding given that Hydractinia has a higher proportion of phylum-specific genes than any of the other 41 animals in our orthology analysis. These results indicate that Hydractinia's stem cells and early progenitor cells may use a toolkit shared with all animals, making it a promising model organism for future exploration of stem cell biology and regenerative medicine. The genomic and transcriptomic resources for Hydractinia presented here will enable further studies of their regenerative capacity, colonial morphology, and ability to distinguish self from nonself.

Distinct stem-like cell populations facilitate functional regeneration of the Cladonema medusa tentacle.

Blastema formation is a crucial process that provides a cellular source for regenerating tissues and organs. While bilaterians have diversified blastema formation methods, its mechanisms in non-bilaterians remain poorly understood. Cnidarian jellyfish, or medusae, represent early-branching metazoans that exhibit complex morphology and possess defined appendage structures highlighted by tentacles with stinging cells (nematocytes). Here, we investigate the mechanisms of tentacle regeneration, using the hydrozoan jellyfish Cladonema pacificum. We show that proliferative cells accumulate at the tentacle amputation site and form a blastema composed of cells with stem cell morphology. Nucleoside pulse-chase experiments indicate that most repair-specific proliferative cells (RSPCs) in the blastema are distinct from resident stem cells. We further demonstrate that resident stem cells control nematogenesis and tentacle elongation during both homeostasis and regeneration as homeostatic stem cells, while RSPCs preferentially differentiate into epithelial cells in the newly formed tentacle, analogous to lineage-restricted stem/progenitor cells observed in salamander limbs. Taken together, our findings propose a regeneration mechanism that utilizes both resident homeostatic stem cells (RHSCs) and RSPCs, which in conjunction efficiently enable functional appendage regeneration, and provide novel insight into the diversification of blastema formation across animal evolution.

Systematics and character evolution of capitate hydrozoans.

Capitate hydrozoans are a morphologically and ecologically diverse hydrozoan suborder, currently including about 200 species. Being grouped in two clades, Corynida and Zancleida, these hydrozoans still show a number of taxonomic uncertainties at the species, genus and family levels. Many Capitata species established symbiotic relationships with other benthic organisms, including bryozoans, other cnidarians, molluscs and poriferans, as well as with planktonic dinoflagellates for mixotrophic relationships and with bacteria for thiotrophic ectosymbioses. Our study aimed at providing an updated and comprehensive phylogeny reconstruction of the suborder, at modelling the evolution of selected morphological and ecological characters, and at testing evolutionary relationships between the symbiotic lifestyle and the other characters, by integrating taxonomic, ecological and evolutionary data. The phylogenetic hypotheses here presented shed light on the evolutionary relationships within Capitata, with most families and genera being recovered as monophyletic. The genus Zanclea and family Zancleidae, however, were divided into four divergent clades, requiring the establishment of the new genus Apatizanclea and the new combinations for species in Zanclea and Halocoryne genera. The ancestral state reconstructions revealed that symbiosis arose multiple times in the evolutionary history of the Capitata, and that homoplasy is a common phenomenon in the group. Correlations were found between the evolution of symbiosis and morphological characters, such as the perisarc. Overall, our results highlighted that the use of genetic data and a complete knowledge of the life cycles are strongly needed to disentangle taxonomic and systematic issues in capitate hydrozoans. Finally, the colonization of tropical habitat appears to have influenced the evolution of a symbiotic lifestyle, playing important roles in the evolution of the group.

SABER-FISH in Hydractinia.

In situ hybridization allows the detection of nucleic acid sequences in fixed cells and tissues. The gelatinous nature of cnidarians and Hydractinia demands extensive and exhausting protocols to detect RNA transcripts with traditional methods (e.g., colorimetric in situ hybridization). Signal amplification by exchange reaction (SABER) fluorescence in situ hybridization (FISH) enables simplifying and multiplex imaging of RNA targets in a rapid and cost-effective manner. In one enzymatic reaction, SABER-FISH uses a strand-displacing polymerase and catalytic DNA hairpin to generate FISH probes with adjustable signal amplification, allowing highly sensitive detection of nucleic acids and reducing the number of required probes. Here I describe the methodology to detect transcripts within the cells of Hydractinia by SABER-FISH in whole-mount samples.

Exploring the association between rosacea and acne by integrated bioinformatics analysis.

Clinically, rosacea occurs frequently in acne patients, which hints the existence of shared signals. However, the connection between the pathophysiology of rosacea and acne are not yet fully understood. This study aims to unveil molecular mechanism in the pathogenesis of rosacea and acne. We identified differentially expressed genes (DEGs) by limma and weighted gene co-expression network analysis and screened hub genes by constructing a protein-protein interaction network. The hub genes were verified in different datasets. Then, we performed a correlation analysis between the hub genes and the pathways. Finally, we predicted and verified transcription factors of hub genes, performed the immune cell infiltration analysis using CIBERSORT, and calculated the correlation between hub genes and immune cells. A total of 169 common DEGs were identified, which were mainly enriched in immune-related pathways. Finally, hub genes were identified as IL1B, PTPRC, CXCL8, MMP9, CCL4, CXCL10, CD163, CCR5, CXCR4, and TLR8. 9 transcription factors that regulated the expression of hub genes were identified. The infiltration of γδT cells was significantly increased in rosacea and acne lesions and positively linked with almost all hub genes. These identified hub genes and immune cells may play a crucial role in the development of rosacea and acne.

Giants among Cnidaria: Large Nuclear Genomes and Rearranged Mitochondrial Genomes in Siphonophores.

Siphonophores (Cnidaria: Hydrozoa) are abundant predators found throughout the ocean and are important constituents of the global zooplankton community. They range in length from a few centimeters to tens of meters. They are gelatinous, fragile, and difficult to collect, so many aspects of the biology of these roughly 200 species remain poorly understood. To survey siphonophore genome diversity, we performed Illumina sequencing of 32 species sampled broadly across the phylogeny. Sequencing depth was sufficient to estimate nuclear genome size from k-mer spectra in six specimens, ranging from 0.7 to 2.3 Gb, with heterozygosity estimates between 0.69% and 2.32%. Incremental k-mer counting indicates k-mer peaks can be absent with nearly 20× read coverage, suggesting minimum genome sizes range from 1.4 to 5.6 Gb in the 25 samples without peaks in the k-mer spectra. This work confirms most siphonophore nuclear genomes are large relative to the genomes of other cnidarians, but also identifies several with reduced size that are tractable targets for future siphonophore nuclear genome assembly projects. We also assembled complete mitochondrial genomes for 33 specimens from these new data, indicating a conserved gene order shared among nonsiphonophore hydrozoans, Cystonectae, and some Physonectae, revealing the ancestral mitochondrial gene order of siphonophores. Our results also suggest extensive rearrangement of mitochondrial genomes within other Physonectae and in Calycophorae. Though siphonophores comprise a small fraction of cnidarian species, this survey greatly expands our understanding of cnidarian genome diversity. This study further illustrates both the importance of deep phylogenetic sampling and the utility of k-mer-based genome skimming in understanding the genomic diversity of a clade.

Succession of medico-legal important flesh flies (Diptera: Sarcophagidae) in the temporal gradient of pig decomposition in the Brazilian Cerrado.

Flies belonging to the Sarcophagidae family play a significant role in forensic investigations by aiding in the estimation of post-mortem interval through the assessment of the developmental time of their immature stages and/or the succession patterns of species on carcasses and cadavers. In this regard, this study aimed to investigate the ecological succession of these flies on pig carcasses within Cerrado of Brazil. The progression of fly succession was examined over a 10-day period using the Threshold Indicator Taxa Analysis (TITAN) approach. Six Z + species (Oxysarcodexia thornax (Walker), Peckia (Sarcodexia) lambens (Wiedemann), Peckia (Euboettcheria) collusor (Curran & Walley), Ravinia belforti (Prado & Fonseca), Tricharaea (Sarcophagula) canuta (Wulp) and Tricharaea (Sarcophagula) occidua (Fabricius)) were identified, with change points ranging from 2.5 to 3 days during the dry season and 2.5 to 5.5 days during the rainy season. Two Z- species (Dexosarcophaga carvalhoi (Lopes) and Peckia (Sarcodexia) tridentata (Hall)) were present, with a change point of 6.5 days during the rainy season. This study provides a continuous analysis of the temporal succession of flies, enabling an investigation into species progression based on their change points and directions (Z + and Z- ), thereby offering methodological advancements to avoid the arbitrary categorization of inherently continuous data.

The effect of external flow on 3D orientation of a microscopic sessile suspension feeder, Vorticella convallaria.

Vorticella convallaria are microscopic sessile suspension feeders that live attached to substrates in aquatic environments. They feed using a self-generated current and help maintain the health of aquatic ecosystems and wastewater treatment facilities by consuming bacteria and detritus. Their environmental impact is mediated by their feeding rate. In ambient flow, feeding rates are highly dependent on an individual's orientation relative to the substrate and the flow. Here, we investigate how this orientation is impacted by flow speed. Furthermore, we examined whether individuals actively avoid orientations unfavorable for feeding. We exposed individuals to unidirectional laminar flow at shear rates of 0, 0.5, 1.0, and 1.5 s-1, and recorded their 3D orientation using a custom biplanar microscope. We determined that V. convallaria orientation became progressively tilted downstream as the shear rate increased, but individuals were still able to actively reorient. Additionally, at higher shear rates, individuals spent a larger fraction of their time in orientations with reduced feeding rates. Our shear rates correspond to freestream flows on the scale of mm s-1 to cm s-1 in natural environments.

Morphological, Genetic, and Physiological Effects of Nutrient Manipulation on a Colonial Marine Hydroid.

AbstractThe availability of environmental nutrients is an existential constraint for heterotrophic organisms and is thus expected to impact numerous biochemical and physiological features. The continuously proliferative polyp stage of colonial hydroids provides a useful model to study these features, allowing genetically identical replicates to be compared. Two groups of colonies of Eirene sp., defined by different feeding treatments, were grown by explanting the same founder colony onto cover glass. Colonies of both treatments were allowed to grow continuously by explanting them onto new cover glass as they reached the edge of the existing surface. The nutrient-abundant polyps grew faster and produced more clumped or "sheet-like" colonies. Compared to the founder colony, the nutrient-abundant colonies exhibited more mutations (i.e., single-nucleotide polymorphisms) than the nutrient-scarce colonies. Nevertheless, these differences were not commensurate with the differences in growth. Using a polarographic electrode, we found that the nutrient-abundant colonies exhibited lower rates of oxygen uptake relative to total protein. The probe 2',7'-dichlorodihydrofluorescein diacetate and fluorescent microscopy allowed visualization of the mitochondrion-rich cells at the base of the polyps and showed that the nutrient-abundant colonies exhibited greater amounts of reactive oxygen species than the nutrient-scarce colonies. Parallels to the Warburg effect-aerobic glycolysis, diminished oxygen uptake, and lactate secretion-found in human cancers and other proliferative cells may be suggested. However, little is known about anaerobic metabolism in cnidarians. Examination of oxygen uptake suggests an anaerobic threshold at a roughly 1-mg/L oxygen concentration. Nutrient-abundant colonies may respond more dramatically to this threshold than nutrient-scarce colonies.

Tissue distribution and expression dynamics of trefoil factor genes in the hydroid Hydractinia symbiolongicarpus.

Proteins of the trefoil factor family (TFF) participate in mucosal repair and are formed by single or tandemly repeated trefoil domains. TFFs have been extensively studied in mammals and amphibians, but they have not been functionally characterized in other animals. Here we report the identification of two genes expressed in the hydroid Hydractinia symbiolongicarpus, predicted to encode trefoil domain-containing peptides, one with four trefoil domains in tandem and the other one with a trefoil domain flanked by two ShKT domains. Differential expression analyses by qPCR after an immune challenge and an induced mechanical damage, reveal that the former gene (hysyTFF) had no significant changes in expression after the inductions. However, the latter (hysyTFF-like) was overexpressed after three hours post immune challenge and was downregulated after the first hour post epithelial damage. Immunoblot analyses using specific IgY antibodies revealed that hysyTFF is secreted as a high molecular weight complex. Finally, whole mount immunofluorescence assays showed that hysyTFF was predominantly expressed in the endoderm of stolons and polyps, and sparsely in the ectoderm of both polyps and larvae. Thus, the tissue distribution and expression dynamics of trefoil factor genes in H. symbiolongicarpus suggest that hysyTFF is part of an ancient mechanism of epithelial restitution, and the newly reported hysyTFF-like might act as an immune effector gene, perhaps encoding an antibacterial peptide.

On some benthic hydroids from New Zealand deep waters, with the description of a new species.

Six species, including Symplectoscyphus trabeculatus sp. nov., have been found and studied in a small collection of benthic hydroids from deep waters south of New Zealands South Island. All species belong to Leptothecata, in particular to the families Campanulariidae, Hebellidae, Lafoeidae, Sertularellidae, Symplectoscyphidae and Zygophylacidae, all of them represented by a single species. Half of the species represent new records for New Zealand waters and Hebella macroplana Watson, 2019 is found for the second time and its gonotheca, hitherto unknown, is described.

A new species of Batillipes (Arthrotardigrada: Batillipedidae) from the mid littoral zone of the southeast coast of India.

Studies of marine tardigrades from Indian waters is very limited and relatively obscure. A new species of marine tardigrade is described from the southeast coast of India as part of an effort to better understand the marine tardigrade biodiversity of the Indian subcontinent. Batillipes kalami sp. nov. described from the sandy sediments of the mid littoral zone can be differentiated from all its congeners by the presence of unconstricted primary clavae, two pairs of lateral body projections between leg II and leg III, long and blunt ended lateral body projections between leg III and leg IV, shape of leg IV sensory organs and the presence of dorsal indentations in its head.

A review of the Anatolian Gomphocerus Thunberg, 1815 (Orthoptera: Acrididae: Gomphocerinae) via morphological and bioacoustics characters: data suggesting a new species, a new subgenus and three new statuses.

Gomphocerus Thunberg, 1815 (Orthoptera, Acrididae, Gomphocerinae) is an interesting genus with clavate antennae, differing from the other genera by the pyriform (pear-shaped) anterior tibiae in the male and being represented by 17 taxa species-subspecies in the Palaearctic region. Anatolian species of this genus have not been adequately studied, and almost all of them are cold tolerance species and live in high mountain meadows. The previous studies indicate that the taxa belonging to Gomphocerus have some taxonomic problems in both Turkey and the Palaearctic region. For this reason, the genus needs taxonomic revision due to its biogeographical, biodiversity, taxonomical and faunistic issues for which morphological and bioacoustics characteristics are to be used. This study was carried out between the years 2015 and 2021 at different altitudes and habitats of the mountains, where Gomphocerus specimens were collected from various localities in Anatolia. Since the species belonging to the genus have distinct morphological differences, the genus is divided into two subgenera: the nominate subgenus and a new subgenus Bolivarianus Mol, subgen. n. In addition, a new species of the nominate subgenus Gomphocerus (Gomphocerus) eyluldenizi Mol, sp.n. is described from Erzurum province (Eastern Anatolia) and when both morphology and bioacoustics characteristics are evaluated, three subspecies of the genus distributed in Anatolia are designated at species level: Gomphocerus (Gomphocerus) turcicus Mistshenko, 1951 stat. n. et sp. rev., Gomphocerus (Bolivarianus) acutus Karaba, 1957 stat. n., and Gomphocerus (Bolivarianus) hemipterus Karaba, 1953 stat. n. Furthermore, a key to the subgenus and species level for Anatolian members of Gomphocerus is provided with original figures, a distributional map and suggestions for conservation status according to IUCN categories are presented.

A morphological review of the jellyfish genus Nausithoe Klliker, 1853 (Nausithoideae, Coronatae, Scyphozoa, Cnidaria).

In this study we address the diversity of the scyphozoan jellyfish genus Nausithoe Klliker, 1853 (Nausithoidae, Coronatae), questioning the feasibility of using some characters of the medusa stage to identify species and filling in gaps concerning species of the genus and their distributions. Like most scyphozoans, the vast majority of the 21 Nausithoe species have a metagenetic life cycle, but similarity of most polyps within the genus highlights the need for studying morphology of the medusa stage. By analyzing morphological features on preserved and live specimens (polyps and medusae) and comparing these data with the original descriptions, we were able to validate twenty species of the group, providing new information for some of them.

A new subfamily of ulmarid scyphomedusae, the Santjordiinae, with a description of Santjordia pagesi gen. et sp. nov. (Cnidaria: Scyphozoa: Discomedusae: Semaeostomeae: Ulmaridae) from the Sumisu Caldera, Ogasawara Islands, Japan.

An undescribed species of ulmarid medusa was observed in situ and captured at 812 m depth within the Sumisu Caldera, Ogasawara Islands, Japan. Morphological and molecular evidence points to it being distinct from other ulmarid medusae and a new species (pagesi), genus (Santjordia) and subfamily (Santjordiinae) are herein erected to contain it. This new subfamily of semaeostome ulmarid medusae has both marginal and subumbrellar rhopalia, making it unique within the order Semaeostomeae. Although the combination of subumbrellar tentacles and the lack of branched canals should warrant the erection of a new family within the Semaeostomeae, a lack of information on the gonad structure and poor bootstrap support in the molecular phylogenetic tree cause us to relegate it to the catch-all family Ulmaridae, until greater taxon sampling and phylogenetic analyses are carried out for the Semaeostomeae.

Health-risk assessment of Portuguese man-of-war (Physalia physalis) envenomations on urban beaches in São Luís city, in the state of Maranhão, Brazil

Abstract INTRODUCTION: The Portuguese man-of-war (Physalia physalis) is a cosmopolitan species, with a widespread distribution and responsible for a great number of injuries caused by cnidarians worldwide, including Brazil. Geoprocessing technology, however, has never been used to assess the spatial distribution of these animals on beaches. The aim of this study was to carry out a health risk assessment of Portuguese man-of-war (P. physalis) envenomations on the São Marcos and Calhau beaches in São Luís city, in the state of Maranhão, Brazil. METHODS: This is a descriptive and quantitative study concerning primary data on the occurrence of the Portuguese man-of-war (P. physalis) and human envenomations in the studied places, conducted over a two-year period in São Luís, Maranhão, northeastern Brazil. RESULTS: Envenomations mainly occurred on beaches presenting high density of P. physalis during the dry period. Vinegar has been incorporated as a first aid, according to recommendations set by the Brazilian Ministry of Health. CONCLUSIONS: In order to improve prevention and control actions of human envenomation, risk areas for this type of envenomation should be clearly indicated as alert areas. Inclusion of the geographical location of the envenomation in the Notification/Investigation SINAN Form was suggested for allowing the continuity of studies involving this public health issue.

First record of Craspedacusta sowerbii Lankester, 1880 (Hydrozoa, Limnomedusae) in a natural freshwater lagoon of Uruguay, with notes on polyp stage in captivity / Primeiro registro de Craspedacusta sowerbii Lankester, 1880 (Hydrozoa, Limnomedusae) em uma lagoa natural de água doce do Uruguai, com observações da fase de pólipo em cativeiro

Abstract The freshwater cnidarian Craspedacusta sowerbii Lankester 1880, has invaded lakes and ponds as well as artificial water bodies throughout the world. The first record in Uruguay corresponding to the jellyfish was made in 1961 in two artificial fountains, with no mention of the polyp form. Although local reports of other related polyp species have been made, information on the benthic form of C. sowerbii is lacking. Here we report the finding of live frustules, solitary individuals, medusae and colonies from a natural lagoon in August 2010, allowing us to observe the morphology and behavior of the polyp stage in captivity. In addition, molecular identification and remarks on the potencial path of introduction are presented. This is the first record in Uruguay of both polyp and medusa stages of C. sowerbii in a natural water body, Del Medio Lagoon (Dpto. de Florida), Uruguay.

Resumo O cnidário Craspedacusta sowerbii Lankester 1880 de água doce, tem invadido lagos e lagoas, bem como corpos de água artificiais em todo o mundo. O primeiro registro no Uruguai correspondente à água-viva foi feita em 1961, em duas fontes artificiais, sem mencionar a forma de pólipo. Embora existem relatórios locais de pólipos de outras espécies relacionados, informações sobre a forma bentônica de C. sowerbii ainda são escassas. Neste trabalho se relata a ocorrência de frústulas vivas, de indivíduos solitários, medusas e colônias de uma lagoa natural, em agosto de 2010, onde foi possível observar a morfologia e comportamento da fase de pólipo em cativeiro. Além disso, identificação molecular e observações sobre a potencial via de entrada da espécies são apresentados. Este é o primeiro registro no Uruguai de ambos estágios de vida de C. sowerbii em um corpo de água natural, Lagoa Del Medio (Dpto. De Florida), Uruguai.

Human envenomations caused by Portuguese man-of-war (Physalia physalis) in urban beaches of São Luis City, Maranhão State, Northeast Coast of Brazil

ABSTRACT INTRODUCTION: The clinical and epidemiological aspects associated with Portuguese man-of-war envenomation were investigated and characterized. METHODS: Data from recorded envenomation events between 2005 and 2013 were provided by the GBMar (Group of Firemen Maritime of Maranhão State) and SEMUSC (Municipal Secretary of Security with Citizenship). RESULTS: Most victims were children, and clinical manifestations included intense pain, edema, erythema, and rare systemic manifestations. CONCLUSIONS: The envenomation events were predictable and based on patterns involving multiple factors (environmental and/or human behavior); however, the initially applied measures did not match the current recommendations of the Health Ministry of Brazil.

Dermatitis de los bañistas asociada al contacto con la medusa -liriope tetraphylla- en Monte Hermoso, Buenos Aires, Argentina / Sea bathers' dermatitis caused by contact with the medusa -liriope tetraphylla- in Monte Hermoso beach, Buenos Aires, Argentina

Desde el año 2013 es frecuente encontrar a la medusa Liriope tetraphylla en las costas de Monte Hermoso y zonas aledañas de la Provincia de Buenos Aires. En los últimos años se ha podido registrar un número importante de afectados por picaduras de Liriope tetraphylla. Cuando las picaduras son abundantes producen el fenómeno de "tapioca" o "pica- pica", provocando en forma inmediata ardor leve y luego lesiones pápulo-eritema-edematosas con picazón intensa. Las lesiones tienen una distribución específica en zonas de flexión corporal y lugares cubiertos por el traje de baño. El día 15 de febrero de 2015 se registró un "bloom" de L. tetraphylla, con una densidad de 605 individuos/m3, que se vio reflejado en el gran número de personas afectadas que ingresaron el Servicio de Emergencias del Hospital Municipal de Monte Hermoso "Dr. Ramón Carrillo" el día 16 de febrero de 2015. De un número total de 71 pacientes adultos que ingresaron ese día al Servicio, fueron atendidos por dermatitis asociada al contacto con "tapioca" 19 de ellos (26.80%),y de un total de 69 pacientes pediátricos, 49 de ellos (71%) fueron tratados por la misma afección. En el presente trabajo se detallan los síntomas causados por "tapioca" en base a 68 casos tratados. Se describe el tratamiento utilizado y métodos de prevención para las lesiones, así como su relación con el bloom de la especie de aguaviva en cuestión.

Since the summer of 2013 the sea medusa Liriope tetraphylla was found frequently on the shores of Monte Hermoso and nearby beaches in Buenos Aires Province. Recently, there has been a significant number of sea bathers affected by Liriope tetraphylla bites. When the bites are numerous, a phenomenon called "tapioca" or "pica - pica" occurs, thus causing immediate mild burning followed by erythematous-edematous papulas and intense itching. Lesions have a specific distribution in body flexion parts and body areas covered by the bathing suit. In February 15, 2015 there was a L. tetraphylla bloom, recording a density of 605 individuals/m3, that caused a large number of sea bathers to present dermatitis and receive treatment at the Emergency Service of Dr. Ramón Carrillo Hospital in Monte Hermoso. On this day, 19 out of 71 adults (26.80%) and 49 out of 69 children (71%) who were treated at the Emergency Service showed clinical profiles compatible with the contact with the sea medusa. In this work, the symptoms caused by "tapioca" based on 68 cases are described in detail, as well as the medical treatment applied, the preventive methods for medusa bites, and the relation with the medusa bloom.

Rhinophyma on hemangioma: A diagnostic conundrum

@#INTRODUCTION: Rhinophyma, aside from persistent centrofacial redness is a major diagnostic criteria for rosacea. Phyma may be mistaken for hypertrophy of tissue due to an underlying hemangioma. CASE REPORT: A 35-year-old female presented with few erythematous papules on the face and nose 19 years prior to consult. Lesions evolved into multiple erythematous nodules on nose and was mistaken for tissue hypertrophy due to an adjacent congenital hemangioma. Her hemangioma was treated with pulsed dye laser 16 years prior with noted decrease in size and erythema. Recently she noticed enlargement of her nose with persistent redness. She presented with multiple firm, thick irregularly shaped erythematous nodules with prominent pilosebaceous pores and telangiectasia on the nose. Skin punch biopsy was done which revealed hypertrophy and lysis of sebaceous lobules with a moderately dense inflammatory infiltrate of lymphocytes. Histopathological diagnosis was rhinophyma. Patient was treated with low dose isotretinoin (0.20 mkd) with marked flattening of lesions in just one month. CONCLUSION: Distinguishing phyma from tissue hypertrophy caused by hemangioma poses as a diagnostic challenge. Careful dermatological examination and histopathological findings will aid in correct diagnosis. Low dose oral isotretinoin is an effective treatment for rhinophyma.