2018
DOI: 10.1136/bcr-2018-225981
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Challenging cause of bullous eruption of the hands in the Arctic

Abstract: Phytophotodermatitis is caused by deposition of photosensitising compounds on the skin followed by ultraviolet exposure. We present an unusual case of a 29-year-old Australian male visiting Greenland who presented with severe itchy bullous eruption on his hands. The cause was a combination of exposure to lime fruit juice and prolonged sun exposure from the Arctic midnight sun.

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Cited by 3 publications
(4 citation statements)
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“…Benign health issues were frequently undermined because of a lack of health education. Some of the skin diseases like photo dermatitis [85], were caused due to prolonged exposure to sunlight during working hours. People suffered from fungal infections in the hands and feet, due to exposure to soil.…”
Section: Discussionmentioning
confidence: 99%
“…Benign health issues were frequently undermined because of a lack of health education. Some of the skin diseases like photo dermatitis [85], were caused due to prolonged exposure to sunlight during working hours. People suffered from fungal infections in the hands and feet, due to exposure to soil.…”
Section: Discussionmentioning
confidence: 99%
“…The chemical contents of invaders were tested as stimulants for plant growth [160]. In addition, the toxic effect of Caucasian hogweeds on mammals [161] has been extensively studied as a biochemical process [162,163]. The rich chemical composition of the organs, tissues, and secretions of Caucasian hogweeds could not be neutral to the organisms that appeared on them or in their surroundings.…”
Section: Biochemistry Of Invasive Caucasian Hogweedsmentioning
confidence: 99%
“…Rutaceae is another common plant family that is widely known for its citrus fruits including lime, lemon, orange, grapefruit and pomelo [3,20]. The often dubbed "other lime disease" involving the many citrus fruits has become some of the most widely reported phytophotodermatitis cases in recent times [21][22][23][24][25][26][27][28][29][30][31][32][33]. This is likely attributed to their increased use during travels, celebrations, and to their use with alcoholic beverages (mojitos, sangrias, and margaritas) [21][22][23][24][25][26][27][28][29][30][31][32][33].…”
Section: Rutaceaementioning
confidence: 99%
“…Even certain diets can influence behavior and lead to rare oral absorption and subsequent phytophotodermatitis, as exemplified by a celery soup diet resulting in a phototoxic rash [55]. Those who celebrate with alcoholic beverages that include citrus fruit, or those in the tourism service industry (bartenders), may have additional plant toxin and sunlight exposure, increasing the risk of phytophotodermatitis [24,25,28,31,33]. In the spring or summer months, people may spend more time outdoors and wear clothing with less skin coverage.…”
Section: Epidemiology Of Health Conditions Caused By the Plantsmentioning
confidence: 99%