BMJ Case Reports 2012; doi:10.1136/bcr-2012-006655
  • Images in...

Dry suit squeeze

  1. Murat Eroglu2
  1. 1Department of Underwater and Hyperbaric Medicine, Gulhane Military Medical Academy Haydarpasa Teaching Hospital, Istanbul, Turkey
  2. 2Department of Emergency Medicine, Gulhane Military Medical Academy Haydarpasa Teaching Hospital, Istanbul, Turkey
  1. Correspondence to Dr Mesut Mutluoglu, drmutluoglu{at}


A 32-year-old scuba diver was admitted to the emergency department for distinct cutaneous lesions. Following an uneventful dive, his peers suspected of several lesions over his body pertaining to decompression sickness (DCS). After his initial assessment, he was referred to the underwater and hyperbaric medicine department for consultation.

The patient was a senior diver and denied to experience any diving accident before. On that cold day, he completed his 45 min dive to 20 m with a dry diving suit. Except for a sensation of discomfort on descent, his diving profile was unremarkable. On examination, he had multiple linear lesions located over his shoulders, upper arms, abdomen and his back, appearing in various colours of bruising; dark yellow, yellow brown and dark purple (figures 1 and 2). Neurological sign and symptoms pertaining to DCS were absent. The patient was diagnosed as dry suit squeeze.

Figure 1

Linear lesions located over the shoulders and upper arms.

Figure 2

Linear lesions located over the shoulders, upper arm and abdomen.

Dry diving suits, compared with the wet ones, have the advantages of a superior thermal protection owing to an air-filled layer between the skin and the suit. However, during descent, this layer, unless inflated with additional gas will squeeze and cause progressive discomfort and pain.1 Further persistence in such a dive may result in the bruising of the affected skin areas. Recognising this condition helps differentiate these lesions from other scuba-diving-related cutaneous manifestations, cutis marmorata2 being the most common form, and avoids unnecessary treatment.


  • Competing interests None.

  • Patient consent Obtained.


Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article