Difference between revisions of "Phytophotodermatitis"

(Created page with "==Background== *The result of chemicals in certain foods reacting with sunlight to cause an aggrevated "sun-burn" like rash ===Common Causative Agents=== *Celery *Parsnip *F...")
 
(Clinical FeaturesRaam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556)
 
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*The result of chemicals in certain foods reacting with sunlight to cause an aggrevated "sun-burn" like rash
 
*The result of chemicals in certain foods reacting with sunlight to cause an aggrevated "sun-burn" like rash
  
===Common Causative Agents===
+
===Common Causative Agents<ref>Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556</ref>===
 
*Celery  
 
*Celery  
 
*Parsnip
 
*Parsnip
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*St. John's wort
 
*St. John's wort
  
==Clinical Features==
+
==Clinical Features<ref>Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556</ref>==
*Bizzarre, linear streaking rash that can be painful or burning
+
[[File:Phytophotodermatitis from exposure to lime juice.jpg|thumb|Phytophotodermatitis caused by lime]]
 +
[[File:Effet de la rue officinale.jpg|thumb|Classic phytophotodermatitis]]
 +
[[File:Phytophotodermatitis-Severe-Case.jpg|thumb|Severe phytophotodermatitis]]
 +
*Bizarre, linear streaking [[rash]] that can be painful or burning
 
*Bullae and vesicles
 
*Bullae and vesicles
 
*Often in a "dripping" pattern or with hand-prints
 
*Often in a "dripping" pattern or with hand-prints
 
*Acute phase 3-5 days, may then progress to hyperpigmentation for months
 
*Acute phase 3-5 days, may then progress to hyperpigmentation for months
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 +
{{Bullous rashes DDX}}
  
==Diagnosis==
+
==Evaluation==
 
*Clinical diagnosis
 
*Clinical diagnosis
  
 
==Management==
 
==Management==
*[[Topical steroids]] (e.g. topical [[triamcinolone]])
+
*[[Topical steroids]] (e.g. topical [[triamcinolone]])<ref>Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556</ref>
  
 
==Disposition==
 
==Disposition==

Latest revision as of 01:06, 28 September 2019

Background

  • The result of chemicals in certain foods reacting with sunlight to cause an aggrevated "sun-burn" like rash

Common Causative Agents[1]

  • Celery
  • Parsnip
  • Fennel
  • Lime
  • Carrot
  • Mustard
  • Parley
  • Dill
  • Grapefruit
  • Lemon
  • Fig
  • St. John's wort

Clinical Features[2]

Phytophotodermatitis caused by lime
Classic phytophotodermatitis
Severe phytophotodermatitis
  • Bizarre, linear streaking rash that can be painful or burning
  • Bullae and vesicles
  • Often in a "dripping" pattern or with hand-prints
  • Acute phase 3-5 days, may then progress to hyperpigmentation for months

Differential Diagnosis

Vesiculobullous rashes

Febrile

Afebrile

Evaluation

  • Clinical diagnosis

Management

Disposition

  • Outpatient

See Also

External Links

References

  1. Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556
  2. Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556
  3. Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556