​Dermatology - Phytophotodermis

​Dermatology - Phytophotodermis 
Phytophotodermatitis is an inflammation of the skin that can be brought on by coming into touch with specific plants while being exposed to sunshine for either recreational or occupational purposes (plant + light = dermatitis). In a number of plant groups, the inflammatory response is a phototoxic reaction that occurs in response to compounds that are photosensitizing. Lime, celery, and meadow grass are common causes of the types that are most commonly developed.
A history of exposure to specific plants, such as lime, lemon, wild parsley, celery, giant hogweed, parsnips, carrot greens, and figs, as well as the usage of perfumes that contain oil of bergamot, which contains bergapten, 5-methoxypsoralen, is provided by the patient. Those patients who have been exposed to the perfume or the plant may only acquire streaks of pigmentation in the places where the perfume was applied. The lesions cause a sensation similar to that of a sunburn, alongside pain and, later on, pruritus.
lesions (plural)
Erythema, edema, vesicles, and bullae are all symptoms that appear suddenly. It's possible that the lesions will look pseudopapular before the vesicles become visible. On the locations of touch, particularly the arms, legs, and face, there are frequently strange streaks and patterns that have been artificially created. Berloque dermatitis, also known as residual hyperpigmentation, is a possibility.

Through the identification of patterns and the meticulous examination of history, a diagnosis can be determined. The differential diagnosis consists mostly of acute irritating contact dermatitis, along with poison ivy dermatitis with a streaky pattern; nonetheless, this is an eczematous condition.

During the acute vesicular stage, it is possible that wet dressings will be required. Topical glucocorticoids are a therapy option for symptomatic conditions. In the event that the offending substance cannot be avoided, the patient should be encouraged to either not expose themselves to the sun or to wear protective clothes.