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Phytophotodermatitis: differentiation from jellyfish stings.

J W Burnett¹, T V Nguyen

¹University of Maryland Hospital, Division of Dermatology, Baltimore 21201.

The Australasian Journal of Dermatology

|January 1, 1989

Summary

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Phytophotodermatitis, a skin reaction, occurred after applying lime juice to a marine sting. Diagnosis was aided by the lack of pain and absent specific antibodies to marine life.

Area of Science:

Dermatology
Toxicology

Background:

Marine stings can cause significant pain and inflammation.
Phytophotodermatitis is a skin reaction triggered by plant compounds and UV light.

Observation:

A patient presented with a skin lesion after applying lime juice to a marine sting.
The patient reported no pain at the lesion site.
Immune-specific antibodies to common local coelenterates were not detected.

Findings:

The patient's condition was diagnosed as phytophotodermatitis.
Lime juice (Citrus aurantifolia) contains furocoumarins, which are photosensitizing agents.
The absence of pain and antibodies supported the diagnosis over a typical marine envenomation reaction.

Implications:

Related Experiment Videos

This case highlights a potential complication of using folk remedies for marine stings.
It underscores the importance of considering phytophotodermatitis in differential diagnoses.
Awareness of this reaction can prevent misdiagnosis and guide appropriate treatment.