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Fig Tree-Induced Phytophotodermatitis: A Case Report on the Perils of a Hobby

dc.contributor.authorPinto, Ana Raquel
dc.contributor.authorMachado Cunha, Inês
dc.contributor.authorRebelo Gomes, Eva
dc.date.accessioned2024-06-18T12:30:24Z
dc.date.available2024-06-18T12:30:24Z
dc.date.issued2023-07
dc.description.abstractPhytophotodermatitis, a condition that results from sequential skin exposure to phototoxic chemicals contained within plants, followed by exposure to solar ultraviolet radiation, has been described with several plants and plant-based foods, namely members of the Moraceaefamily, which include Ficus carica L. This tree's branches, leaves, and fruit skin exude a milky sap or latex containing proteolytic enzymes and furocoumarins known to be photoirritants, easily absorbed upon skin contact. Oxygen-dependent and independent toxic reactions subsequent to sun exposure promote cell membrane damage and oedema, consequently leading to cell death. The diagnosis is confirmed with a detailed anamnesis, and photopatch testing is often useful to rule out a differential diagnosis. It is typically a self-limited condition, with few cases requiring treatment with topical or systemic corticosteroids. We report on a 55-year-old male patient who, following picking figs and pruning a fig tree while exposed to sunlight, developed erythematous and pruritic maculopapular lesions that progressed to blisters with residual hyperpigmentation. The diagnosis was further corroborated through photopatch testing, and the patient was recommended to avoid this recreational activity without symptoms' relapse. This case highlights the importance of considering phytophotodermatitis as a differential diagnosis when evaluating cases of dermatitis on exposed body surfaces and the importance of an exhaustive anamnesis. Identification of specific plant triggers and the performance of photopatch tests are essential to help confirm the diagnosis and guide avoidance recommendationspt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPinto AR, Machado Cunha I, Rebelo Gomes E. Fig Tree-Induced Phytophotodermatitis: A Case Report on the Perils of a Hobby. Cureus. 2023;15(7):e41888. doi:10.7759/cureus.41888pt_PT
dc.identifier.doi10.7759/cureus.41888pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2969
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://www.cureus.com/articles/149904-fig-tree-induced-phytophotodermatitis-a-case-report-on-the-perils-of-a-hobby#!/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectfig treept_PT
dc.subjectfurocoumarinspt_PT
dc.subjectphotosensitivity disorderspt_PT
dc.subjectphytochemicalspt_PT
dc.subjectphytophotodermatitispt_PT
dc.titleFig Tree-Induced Phytophotodermatitis: A Case Report on the Perils of a Hobbypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPagee41888pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
person.familyNamePinto
person.familyNamegomes
person.givenNameAna Raquel
person.givenNameeva
person.identifier.ciencia-id0D1C-83A7-A086
person.identifier.orcid0000-0002-1505-105X
person.identifier.orcid0000-0001-8956-9145
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3a34731e-084b-41de-a611-59b6bd0e5859
relation.isAuthorOfPublication7e99b85c-5096-43a3-800b-02207a45237d
relation.isAuthorOfPublication.latestForDiscovery7e99b85c-5096-43a3-800b-02207a45237d

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