What characteristic pattern do highly localized sting marks often present immediately after contact with box jellyfish tentacles?
Answer
Ladder-like welts
The initial presentation of a localized box jellyfish sting is characterized by excruciating pain, frequently described as being branded with hot metal. Where the tentacles have contacted the skin, highly specific lesions appear rapidly. These marks are typically described as being either whip-like or ladder-like welts. These lesions are usually red and raised, and in severe instances, particularly those caused by C. fleckeri venom, they can progress over time to result in full-thickness skin necrosis and lasting pigmentation changes.

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