Lime-induced phytophotodermatitis

Hankinson, Andrew; Lloyd, Benjamin; Alweis, Richard

doi:10.3402/jchimp.v4.25090

Cited by 21 publications

(30 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Phytophotodermatitis represents non-immune mediated responses induced by furocoumarins that sensitise epithelial DNA to ultraviolet radiation causing ‘burns induced by plants’ 1–4. Fig tree leaves and sap contain photoactive furocoumarins that can cause this condition 2.…”

Section: Descriptionmentioning

confidence: 99%

“…Fig tree leaves and sap contain photoactive furocoumarins that can cause this condition 2. Phytophotodermatitis is frequently confused with a broad spectrum of dermatological conditions like skin burns, drug-related photosensitivity, herpetic lesions, bullous impetigo or contact dermatitis 1 4. A patient with a painful rash after direct exposure to plants known to contain furocoumarins, including limes, figs, celery, fennel, carrots, parsley, dill and parsnips, should raise consideration of the diagnosis of phytophotodermatitis.…”

Section: Descriptionmentioning

confidence: 99%

“…A patient with a painful rash after direct exposure to plants known to contain furocoumarins, including limes, figs, celery, fennel, carrots, parsley, dill and parsnips, should raise consideration of the diagnosis of phytophotodermatitis. Infection can complicate severe lesions 1 4. Phytophotodermatitis is a self-limited condition and care is typically focused on symptomatic management.…”

Section: Descriptionmentioning

confidence: 99%

See 2 more Smart Citations

Fig tree induced phytophotodermatitis

et al. 2020

View full text Add to dashboard Cite

Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

See 1 more Smart Citation

Fig tree induced phytophotodermatitis

et al. 2020

View full text Add to dashboard Cite

“…Phytophotodermatitis is a skin reaction caused by ultraviolet light exposure after previous contact with a photosensitizing plant compound such as a furocoumarin. There are frequent reports of phytophotodermatitis caused by lime, 1 fig leaves, 2 or celery. 3 We report the case of a 60-year-old man who developed phytophotodermatitis after encountering Peucedanum paniculatum Loisel during a walk in Corsica, France.…”

mentioning

confidence: 99%

Phytophotodermatitis related to Peucedanum paniculatum Loisel, a case report

Dufayet

Langrand

2018

Contact Dermatitis

View full text Add to dashboard Cite

Phytophotodermatitis is a skin reaction caused by ultraviolet light exposure after previous contact with a photosensitizing plant compound such as a furocoumarin. There are frequent reports of phytophotodermatitis caused by lime, 1 fig leaves, 2 or celery. 3 We report the case of a 60-year-old man who developed phytophotodermatitis after encountering Peucedanum paniculatum Loisel during a walk in Corsica, France. CASE REPORTThe patient consulted the Paris Poison Control Centre with a rash on his forearms ( Figure 1A,B). He did not have other associated systemic symptoms or a relevant previous medical history. He explained how he went on a walk the day before, in the mountains near Corte in Corsica, and saw signs mentioning the presence of a "toxic" plant along the path. The presence of P. paniculatum Loisel in this area is known to locals and documented. 4 The patient recognized the plants from pictures, and remembered walking among them. He did not wear appropriate clothing such as long sleeves, and was out in the sun during the walk and for several hours afterwards. Seven hours after exposure, he had non-pruritic erythematous rashes on both of his forearms. The next morning, the rashes were erythematous, with vesicles and large blisters (Figures 1 and 2). We diagnosed phytophotodermatitis, given the appearance and localization of his rashes and their non-pruritic nature, and a history of exposure to P. paniculatum Loisel and sunlight. Treatment was symptomatic, with rinsing baths of the forearms, disinfection of the blisters, and application of a moisturizing cream. After 5 days, the blistering had resolved but hyperpigmented lesions on his forearms persisted. DISCUSSIONPhytophotodermatitis may present with erythema, plaques, vesicles, and bullae, and evolve as hyperpigmented patches that may take several months to resolve. 5 Lesions are well demarcated with bizarre shapes. Clinicians should rule out other cutaneous photosensitivity diseases such as idiopathic photosensitivity diseases (polymorphous light eruption; solar urticaria), photosensitivity associated with endogenous phorosensitizers (porphyrias and pellagra), or photoallergy. 6 Treatment involves early removal of the agent; disinfection and topical corticosteroids may be used for severe eruptions. 7 The later use of tretinoin cream has also been reported to help reduce residual hyperpigmentation. 7 Furocoumarins are found in the sap of plants, mostly in the Apiaceae (or Umbelliferae) family, but also in the Rutaceae, DUFAYET AND LANGRAND 249

show abstract

“…There are two interesting images: a radiology image of an aspirated lithium battery ( 9 ) and an image of phytodermatitis caused by exposure to a citrus fruit ( 10 ).…”

mentioning

confidence: 99%

Editor's note

Ferguson¹

2014

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Lime-induced phytophotodermatitis

Cited by 21 publications

References 3 publications

Fig tree induced phytophotodermatitis

Fig tree induced phytophotodermatitis

Phytophotodermatitis related to Peucedanum paniculatum Loisel, a case report

Editor's note

Contact Info

Product

Resources

About