Fig tree induced phytophotodermatitis

Oliveira, Ana Andrade; Morais, Joana; Pires, Olga; Burmester, Inês

doi:10.1136/bcr-2019-233392

Cited by 8 publications

(10 citation statements)

References 3 publications

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“…If bacterial superinfection is suspected, local and/or systemic antibiotics should be applied. 2,4 In severe cases with extensive skin lesions, such as our case, a brief course of systemic corticosteroids may be of benefit. Use of sunscreens in the affected areas is recommended postinjury to avoid the development of disfiguring hyperpigmentation.…”

Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 84%

“…Plants known to contain furocoumarins are fig tree leaves and sap, limes, celery, fennel, carrots, parsley, dill, and parsnips. 2 Phytophotodermatitis is a nonimmunologic reaction. Furocoumarins from the plant bind to the epidermal DNA, and the exposure to sunlight causes cross-linking of the DNA, which eventually leads to cell death in the epidermis.…”

Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 99%

“…4 Differential diagnosis includes skin burns, drug-related photosensitivity, herpetic lesions, bullous impetigo, contact dermatitis, and even child abuse. 2,5 Although phytophotodermatitis is a self-limited condition, treatment depends on the extent of the injury. 5 Meticulous wound care is advised along with analgesic drugs, if necessary.…”

Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 99%

See 2 more Smart Citations

Fig Tree Leaves Phytophotodermatitis

Papazoglou

Mantadakis

2021

The Journal of Pediatrics

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Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 84%

Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 99%

Section: Fig Tree Leaves Phytophotodermatitismentioning

confidence: 99%

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Fig Tree Leaves Phytophotodermatitis

Papazoglou

Mantadakis

2021

The Journal of Pediatrics

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“…A wide range of common garden plants have been implicated, including parsley, parsnips, celery, carrot, lime, lemon, bergamot oranges and several wild flowers (umbelliferae), hogweed8 and fig in this case 9–11. At present, no studies have directly compared the severity of the condition with exposure to different sources of furocoumarin.…”

Section: Discussionmentioning

confidence: 99%

Severe phytophotodermatitis from fig sap: a little known phenomenon

Redgrave

Solomon

2021

BMJ Case Rep

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A 46-year-old arborist with no medical history presented to the emergency department with a confluent blistering, erythematous, non-pruritic, painful rash covering both arms circumferentially and the back of his neck. He sought medical advice as his arms were becoming more painful and swollen with blister formation, despite aloe vera cream and wet towel wraps. He recalled that 2 days previously he had been pruning a fig tree on a hot sunny day. He was wearing a t-shirt and his forearms had been exposed to a large quantity of fig sap, while he was working under direct sunlight. On examination, there were several blisters with no superimposed infection. He was diagnosed with phytophotodermatitis and referred to a regional burns unit. He recovered well with simple dressings and a course of antibiotics. At present, he has made a good recovery with no long-term sequelae such as skin hyperpigmentation or hypopigmentation.

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“…In certain geographical locations, especially in Europe, Giant Hogweed (Heracleum mantegazzianum) and Sosnowskyi Hogweed (Heracleum sosnowskyi) are particularly implicated in causing such skin lesions [2][3][4]. Among other inducing factors, citrus fruits (lemons, limes), fig, celeries, parsley, or carrot leaves should be noted [5][6][7][8][9][10]. Phytophotodermatitis may also be an occupational disease among grounds operatives [11].…”

mentioning

confidence: 99%