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Related Concept Videos

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions01:29

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

333
Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...
333

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Lime-induced phytophotodermatitis.

Andrew Hankinson1, Benjamin Lloyd2, Richard Alweis2

  • 1Division of Dermatology, University of Vermont Medical Center, Burlington, VT, USA.

Journal of Community Hospital Internal Medicine Perspectives
|October 16, 2014
PubMed
Summary
This summary is machine-generated.

Phytophotodermatitis, a skin reaction from plant compounds and sun exposure, can be mistaken for other conditions. Awareness is key for accurate diagnosis and treatment of this photosensitive dermatitis.

Keywords:
Rutaceaedermatitislimephotodermatitisphytodermatitispsoralen

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Area of Science:

  • Dermatology
  • Toxicology
  • Botany

Background:

  • Phytophotodermatitis is a skin inflammation triggered by contact with photosensitizing plant compounds followed by sun exposure.
  • Common culprits include citrus fruits, celery, and wild parsnip, which contain furocoumarins.
  • This condition can mimic other dermatological issues, leading to misdiagnosis.

Purpose of the Study:

  • To highlight a case of lime-induced phytophotodermatitis.
  • To emphasize the importance of physician awareness regarding phytophotodermatitis.
  • To differentiate phytophotodermatitis from other skin conditions.

Main Methods:

  • Case report presentation.
  • Review of literature on photosensitizing plant compounds.
  • Clinical observation and differential diagnosis.

Main Results:

  • The case illustrates a clear instance of phytophotodermatitis caused by lime exposure and subsequent sunlight.
  • Phytophotodermatitis shares clinical features with fungal infections, cellulitis, allergic contact dermatitis, and even child abuse.
  • Misdiagnosis can delay appropriate management.

Conclusions:

  • Physicians must consider phytophotodermatitis in patients with characteristic skin lesions after plant exposure and sun.
  • Early and accurate diagnosis prevents unnecessary treatments and potential harm.
  • Increased awareness can improve patient outcomes for this plant-induced photosensitive reaction.