Two weeks earlier, she had felt a stinging sensation
on her right thigh while surfing in Indonesia. Back
on shore, she noticed a painful maculopapular rash.
Natives assumed it was caused by a jellyfish sting and
applied a liniment consisting of turmeric, vinegar, and
lime juice on the affected skin for pain relief. After
3 days, several pigmented linear tracks appeared on her
right leg, some extending down to her knee and two of
them reaching down to the lateral part of her right foot
(Figures 1 and 2). She did not note prior erythema or
pain. The configuration of the hyperpigmentation was
thought to be too straight and parallel to represent either
lymphangitis or a late-onset cutaneous reaction related
to degranulation of jellyfish nematocysts. Furthermore,
in the case of jellyfish envenomation, the lesions would
have been anticipated to appear immediately after
stinging and not after a delay of several days. Further
inquiry indicated that these hyperpigmented skin lesions