Phytophotodermatitis

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Common-

Phytophotodermatitis is an acute skin reaction that occurs when certain chemical compounds present in plants or fruit come into contact with the skin and are simultaneously activated by exposure to sunlight or ultraviolet (UV) light. It occurs most frequently in people working in agricultural activities or when gardening.

It is caused by two factors: the presence of phytochemical compounds in certain plants, such as lemon, lime, orange, celery and some flowers, and subsequent exposure to sunlight or ultraviolet light.

Symptoms appear within the first 24 hours after exposure. The most common manifestations include redness, swelling, burning and blistering on the hands, arms, face and neck after exposure to the vegetable substances and sunlight.

Diagnosis is based on clinical evaluation of symptoms and the patient's history of exposure to vegetable substances and sunlight.

Treatment includes washing the affected skin with mild soap and water, applying cold compresses to reduce swelling and burning, and avoiding further sun exposure until the skin has fully recovered. 

In more severe cases, topical corticosteroids or anti-inflammatory medications may be prescribed to reduce the skin reaction.

Bibliographic references
  1. McGovern TW. Dermatoses due to plants. In: Dermatology, 3rd ed, Bolognia JL, Jorizzo JL, Schaffer JV, et al (Eds), Elsevier Saunders, 2012. Vol 1, p.273.
  2. Derraik JG, Rademaker M. Phytophotodermatitis causada por el contacto con una higuera (Ficus carica). NZ Med J 2007; 120:U2720.
  3. Boffa MJ, Gilmour E, Ead RD. Sopa de apio que causa fototoxicidad severa durante la terapia PUVA. Br J Dermatol 1996; 135:334.
  4. Puig L, de Moragas JM. Mejora de los efectos fototóxicos de PUVA después de la ingestión de apio: el caldo frío también puede quemar. Arco Dermatol 1994; 130:809.
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Reddish-brown spot after sun exposure


    Reddening of the skin due to sun exposure


    Linear or splash-shaped mark


    Skin blemishes in areas exposed to the sun


    Feeling of burning on the skin

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Wound with signs of infection (warmth, redness, painful sensation, fever, swelling)

Self-care

Wash the wound thoroughly with soap and water.
Avoid excessive sun exposure.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Apply moisturizer daily.
Avoid scratching or causing damage to the skin.