Sap and Sun: A Case of Phytophotodermatitis.

Humans Dermatitis, Phototoxic / diagnosis Blister / diagnosis Diagnosis, Differential Colorado
UV-A cow parsley furanocoumarin furocoumarin

Journal

Wilderness & environmental medicine
ISSN: 1545-1534
Titre abrégé: Wilderness Environ Med
Pays: United States
ID NLM: 9505185

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 01 09 2022
revised: 04 05 2023
accepted: 07 06 2023
medline: 27 11 2023
pubmed: 7 10 2023
entrez: 6 10 2023
Statut: ppublish

Résumé

We report a case of phytophotodermatitis caused by cow parsnip (Heracleum maximum) exposure affecting a hiker in Colorado. Phytophotodermatitis is a phototoxic skin reaction to UV-A rays after contact with photosensitizing plant substances that presents as a burning, painful rash, often with blisters. Treatment is supportive, including wound hygiene, analgesia, and anti-inflammatories. Avoiding offending plants, protecting the skin from sun, and immediate washing with soap and water after plant contact are the primary means of prevention. We have included a table and photos of plants found in the United States that can cause phytophotodermatitis. Medical providers should include phytophotodermatitis in the differential diagnosis of blistering rashes in patients who have been outdoors with possible exposure to offending plants.

Identifiants

DOI: 10.1016/j.wem.2023.06.003 PMID: 37802751
pubmed: 37802751
pii: S1080-6032(23)00109-6
doi: 10.1016/j.wem.2023.06.003
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

532-535

Informations de copyright

Copyright © 2023 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Andrew J Morris (AJ)

Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC; Mountain Area Health Education Center, Hendersonville Family Medicine Residency Program, Hendersonville, NC. Electronic address: amorris@brchs.com.

Cathleen A Rueckeis (CA)

University of Washington, Seattle, Washington; Full Circle Health Family Medicine Residency Program, Boise, ID. Electronic address: rueckeis@uw.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Sap and Sun: A Case of Phytophotodermatitis.
questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies de la peau › Dermatoses eczémateuses › Eczéma de contact › Dermatite irritative › Dermatite phototoxique › Sap and Sun: A Case of Phytophotodermatitis.
questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Cloque › Sap and Sun: A Case of Phytophotodermatitis.
questionsmedicales.fr › Diagnostic › Diagnostic différentiel › Sap and Sun: A Case of Phytophotodermatitis.
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › États du Sud-Ouest des États-Unis › Colorado › Sap and Sun: A Case of Phytophotodermatitis.