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Progression of Cutis Marmorata Following Initial Hyperbaric Therapy for Decompression Sickness
Shuo-Wen Liang1, Shih-En Tang1, Chun-Han Wu1
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine Tri-Service General Hospital, National Defense Medical University Taipei Taiwan.
Respirology Case Reports
|April 13, 2026
Summary
A 33-year-old diver experienced decompression sickness after a dive. Despite initial treatment, a skin rash worsened, requiring multiple hyperbaric oxygen therapy sessions for full recovery, emphasizing careful patient observation.
Area of Science:
- Diving Medicine
- Dermatology
- Hyperbaric Medicine
Background:
- Decompression sickness (DCS) is a risk for divers.
- Cutis marmorata is a rare skin manifestation of DCS.
Purpose of the Study:
- To report a case of DCS with unusual skin progression.
- To highlight the importance of monitoring DCS patients.
Main Methods:
- Case report of a 33-year-old male diver.
- Treatment with hyperbaric oxygen therapy (HBOT).
- Monitoring of skin manifestations and symptoms.
Main Results:
- The patient developed DCS after a 26-m dive.
- Initial improvement with HBOT was followed by rash progression to cutis marmorata.
- Multiple HBOT sessions were needed for complete resolution.
Conclusions:
- DCS can present with atypical skin findings.
- Close monitoring and repeated HBOT may be necessary for complex DCS cases.
- This case underscores the variability of DCS presentation and treatment response.
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