Local erythema, ecchymosis, swelling, & variable skin changes (e.g. pallor vs. erythema vs. cyanosis) 
Intense, sharp pain
Symptoms peak at 60-90 minutes
Duration: 1-2 days
Lesions can progress to hemorrhagic bullae with necrosis.
Systemic effects are similar to stonefish.
Lionfish envenomation
Toxins
Stonefish envenomation
Ciguatera
Scorpion envenomation
Scombroid
Fire coral envenomation
Tetrodotoxin 