I also had a miniature exposure to palytoxin. I bare-handedly (not a word, I know) moved a rock with some palys on it. I just handled it from the bag I got it in from the store, under water and felt some of the typical mucus that you feel from touching corals. I immediately washed my hands very well with dish soap and went about my day. I didn't have the fever and other things, but I certainly felt tightening in that arm and in my chest/respiration (I'm 33 and have recently had my heart thoroughly checked out for other reasons and it is in excellent health, I work out regularly, and don't have other heart issues that could conflate the matter). Luckily I think I washed most of it off and my exposure was limited. But it does go to show that it is real and gloves are a MUST!