Difference between revisions of "Phytophotodermatitis"
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[[File:Effet de la rue officinale.jpg|thumb|Classic phytophotodermatitis]] | [[File:Effet de la rue officinale.jpg|thumb|Classic phytophotodermatitis]] | ||
[[File:Phytophotodermatitis-Severe-Case.jpg|thumb|Severe 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 | ||
Latest revision as of 01:06, 28 September 2019
Contents
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]
- 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
- Diffuse distribution
- Varicella
- Smallpox
- Disseminated gonococcal disease
- DIC
- Purpural fulminans
- Localized distribution
Afebrile
- Diffuse distribution
- Bullous pemphigoid
- Drug-Induced bullous disorders
- Pemphigus vulgaris
- Phytophotodermatitis
- Erythema multiforme major
- Bullous impetigo
- Localized distribution
Evaluation
- Clinical diagnosis
Management
- Topical steroids (e.g. topical triamcinolone)[3]
Disposition
- Outpatient
See Also
External Links
References
- ↑ Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556
- ↑ Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556
- ↑ Raam et al. "Phytophotodermatitis: The other lime disease." Annals of EM. April 2016. 67(4):554-556