2010
DOI: 10.1001/archdermatol.2010.297
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Mexican Beer Dermatitis: A Unique Variant of Lime Phytophotodermatitis Attributable to Contemporary Beer-Drinking Practices

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Cited by 17 publications
(5 citation statements)
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“…28 An accidental spray of lime juice on the skin while adding it to a beer, guacamole, salsa, or any other food or beverage also can cause phytophotodermatitis. [29][30][31] Although the juice of lemons and limes contains psoralens, the rind can contain a 6-to 186-fold increased concentration. 32 Psoralen is the photoactive agent in Rutaceae plants that intercalates in double-stranded DNA and promotes intrastrand crosslinks when exposed to UVA light, which ultimately leads to dermatitis.…”
Section: Phytophotodermatitismentioning
confidence: 99%
“…28 An accidental spray of lime juice on the skin while adding it to a beer, guacamole, salsa, or any other food or beverage also can cause phytophotodermatitis. [29][30][31] Although the juice of lemons and limes contains psoralens, the rind can contain a 6-to 186-fold increased concentration. 32 Psoralen is the photoactive agent in Rutaceae plants that intercalates in double-stranded DNA and promotes intrastrand crosslinks when exposed to UVA light, which ultimately leads to dermatitis.…”
Section: Phytophotodermatitismentioning
confidence: 99%
“…The classic presentation is a patient who was recently on vacation in a sunny destination, enjoying alcoholic beverages with citrus fruits that spilled on their skin, and now has "Mexican beer (or margarita) dermatitis" (aka phytophotodermatitis). 6,7 Bartenders who work in outdoor bars, field workers who pick fruit, and kids who run in fields or play in bushes (kids will be kids) are also at risk. Because furocoumarins are at their highest level in plants in spring and summer, this is the most common time of year to encounter phytophotodermatitis.…”
Section: "Juicy" Clinical Pearlsmentioning
confidence: 99%
“…There is a distinction between Persian and Key limes, with Persian limes characteristically being more phototoxic and bergapten potentially being the main culprit in both . Cases of phytophotodermatitis have been reported in a case series of children preparing limes for lime cordial, and similar findings from drinking Mexican alcoholic drinks, where a lime wedge is placed in the top of the bottle …”
mentioning
confidence: 96%
“…3 Cases of phytophotodermatitis have been reported in a case series of children preparing limes for lime cordial, 4 and similar findings from drinking Mexican alcoholic drinks, where a lime wedge is placed in the top of the bottle. 5 Phytophotodermatitis can present as a diagnostic challenge, and can often be misdiagnosed as nonaccidental injury or burns. 6 A thorough clinical his-tory and examination are essential as patients may not recall or recognize the precipitating factors.…”
mentioning
confidence: 99%