STINGING limu season is upon us. A few weeks ago, a
dermatologist told me he suspected this seaweed was the cause of
a blistering rash on the stomach of a girl swimming off the
Waianae Coast. Soon after, the state Health Department received
reports of swimmers afflicted with rashes from stinging limu
along the Mokapu Peninsula, Kailua Beach and Ewa.
People in Hawaii call a variety of marine organisms stinging
limu, but only one true seaweed is known to commonly cause a rash
in humans here. This blue-green seaweed, called Lyngbya
majuscula (or sometimes Microcoleus lyngbyaceus)
usually grows in clumps, looking like dark, matted masses of hair
or felt. Most often this seaweed is blackish-green or
olive-green, but it also grows in shades of gray, red or
yellow.
The filaments of this seaweed grow up to 4 inches long, often
tangling with other seaweeds on reef flats, in tide pools or
water as deep as 100 feet. When loose in the water, this seaweed
looks like floating, tangled strands.
The toxicity of this seaweed varies greatly depending upon
region, season, and type. Not all strains of this seaweed are
toxic.
WHEN toxic, stinging limu contains two potent, inflammatory
toxins, both causing skin damage upon contact. Typically, seaweed
fragments get caught inside swimsuits, rubbing these toxins into
the skin.
Epidemics of this seaweed-induced rash occasionally occur in
both Hawaii and Okinawa. In Hawaii, the highest number of cases
occur from June through September in windward swimming areas.
Persistent trade winds blowing during these summer months may
dislodge the seaweed from the bottom. Fragments then drift into
swimming bays and beaches.
The Health Department issues public warnings when outbreaks of
this rash occur in swimmers. Heed these warnings. Common areas
are Kaneohe Bay, Kailua Bay and waters off Laie and Ewa, but the
seaweed grows and drifts in other areas too.
LIMITING swimming time in affected areas does not guarantee
protection, nor does the prompt removal of your bathing suit. If
you come in contact with the stinging variety of this stuff, you
will likely end up with a rash.
Rash victims feel an itching and burning sensation minutes or
even up to 24 hours after leaving the water. A red, sometimes
blistering rash occurs, sometimes in an entire swimsuit pattern.
Most surfers are all too familiar with this seaweed, which can
wash down the suit and irritate the most tender of body
parts.
Such a rash also can occur on the face and in the eyes and
mouth. Some victims have swelling of eyes and mouth, but no
rash.
For mild to moderate cases of skin rash, remove your swimsuit
immediately and wash skin vigorously with soap and water. Wash
the suit, too.
ALTHOUGH unproven, cool compresses or rubbing alcohol may help
relieve the pain. For persistent itching or skin rash, doctors
recommend trying 1 percent hydrocortisone ointment four times a
day, and one or two 25 milligram diphenhydramine (Benadryl)
tablets every six hours. These drugs are sold without
prescription. Diphenhydramine may cause drowsiness, so don't
drive, swim, or surf after taking it.
Irrigate exposed eyes with tap water for at least 15 minutes.
For severe discomfort, blistering not responding to first-aid
treatment, eye stings, or any signs of infection, see a
doctor.
Any difficulty breathing signals an allergic reaction, which
is always a medical emergency.
Other marine organisms, including tiny jellyfish and flatworm
larvae, can cause similar-looking skin rashes. Distinguishing
these from this seaweed rash often is impossible.
The good news, however, is that treatment is the same.
Susan Scott is a marine science writer and author of three
books about Hawaii's environment. Her Ocean Watch column
appears Monday in the Honolulu
Star-Bulletin.
Or, you can go to the Beach
Directory for a listing of all the beaches covered in these
pages.
Search this site or the Web with
Google:
Suggestions, comments and recommendations are welcomed.
These pages are a project of the Hawaiian Lifeguard
Association, a not for profit, professional association of
Hawaii's lifeguards devoted to the advancement of lifesaving
services and public education on beach and ocean
safety.
Web
Developer: This page is maintained by J. B. Lee. You can
reach me by email by clicking
here.
Last modified: 11-Mar-2005 02:46 PM
The closeup shot of Lyngma Majuskla is from the
Cyanobacteria page of the University of Hawaii's School
of Botany.