Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

Information for Patients

View all Images (59)

Phytophotodermatitis in Adult
Other Resources UpToDate PubMed

Phytophotodermatitis in Adult

Contributors: Susan Burgin MD, Noah Craft MD, PhD, Lindy P. Fox MD, Lowell A. Goldsmith MD, MPH
Other Resources UpToDate PubMed

Synopsis

Phytophotodermatitis is a cutaneous phototoxic eruption caused by the interaction of furocoumarins found in some common plants with solar UVA radiation. It is a common skin complaint in travelers to tropical regions. Approximately 24 hours after plant contact with subsequent exposure to sunlight, a burning erythema develops. Limes, other citrus fruits, celery, figs, meadow grass, certain weeds, and oil of bergamot are frequently causative. Exposure to the plant sap of wild parsnip (Pastinaca sativa; "poison parsnip"), common throughout the United States, can cause severe phytophotodermatitis (when in bloom it looks similar to Queen Anne's lace or dill plant and grows to around 4 feet tall). Common scenarios include squeezing limes outdoors, gardening and agricultural work, and hiking or biking in areas of causative plants.

There is no predilection for any age or ethnicity or either sex, although phytophotodermatitis may be more noticeable in lighter skin phototypes. Bartenders and revelers handling citrus fruits are at higher risk. The condition is benign and self-limited, and treatment is supportive.

The term "Berloque dermatitis" refers to phytophotodermatitis from natural oil of bergamot in perfumes. This eruption is typically seen on the face and neck of women applying aerosolized fragrances. This has become rare since the introduction of artificial oil of bergamot.

Related topic: Hogweed dermatitis

Codes

ICD10CM:
L56.2 – Photocontact dermatitis [berloque dermatitis]

SNOMEDCT:
238521005 – Phytophotodermatitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated:08/07/2017
Copyright © 2024 VisualDx®. All rights reserved.
Patient Information for Phytophotodermatitis in Adult
Print E-Mail Images (59)
Contributors: Medical staff writer
Premium Feature
VisualDx Patient Handouts
Available in the Elite package
  • Improve treatment compliance
  • Reduce after-hours questions
  • Increase patient engagement and satisfaction
  • Written in clear, easy-to-understand language. No confusing jargon.
  • Available in English and Spanish
  • Print out or email directly to your patient
Copyright © 2024 VisualDx®. All rights reserved.
Phytophotodermatitis in Adult
A medical illustration showing key findings of Phytophotodermatitis : Burning skin, Citrus fruit exposure, Developed rapidly , Erythema, Hyperpigmented patch, Photosensitivity, Tense bullae, Tense vesicle
Clinical image of Phytophotodermatitis - imageId=226613. Click to open in gallery.  caption: 'Bright pink and brown linear patches and plaques on the legs as a result of exposure to limes and sunlight.'
Bright pink and brown linear patches and plaques on the legs as a result of exposure to limes and sunlight.
Copyright © 2024 VisualDx®. All rights reserved.