1
|
Vilela M, Fernandes S, Barroso AS, Carvoeiro A. Phytophotodermatitis Due to Fig Tree Sap Activated by Ultraviolet Light: A Case Report. Cureus 2024; 16:e54286. [PMID: 38500923 PMCID: PMC10945287 DOI: 10.7759/cureus.54286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2024] [Indexed: 03/20/2024] Open
Abstract
Phytophotodermatitis is a dermatological reaction caused by exposure to certain plants, which becomes activated upon subsequent exposure to sunlight. This can frequently result in a rash. Typically, supportive treatment is recommended. In this report, we describe the case of phytophotodermatitis in a 57-year-old man who experienced a painful rash with streaked lesions following the pruning of a fig tree during the summer. The patient, with no significant medical history, presented to the emergency department in July with a painful, streaked rash on both forearms. The lesions appeared overnight, predominantly on areas of skin exposed while sleeping. The patient denied contact with potential irritants and had not engaged in recent travel or altered his usual habits. Laboratory tests, including complete blood count and markers of inflammation, showed no abnormalities. A thorough patient history revealed recent fig tree pruning, a task usually undertaken in winter. The diagnosis of phytophotodermatitis was made based on the characteristic skin lesions and the patient's history of exposure to fig tree sap. Treatment with antihistamines led to improvement in symptoms, and the patient was discharged with a week-long course of antihistamines and advice to avoid sunlight and contact with fig trees. This case underscores the importance of a detailed medical history, especially in the context of dermatological lesions, to accurately diagnose and treat conditions like phytophotodermatitis.
Collapse
Affiliation(s)
- Maria Vilela
- Internal Medicine, Unidade Local de Saúde do Alto Minho (ULSAM) - Hospital de Santa Luzia, Viana do Castelo, PRT
| | - Sandra Fernandes
- Epidemiology and Public Health, Aces Cávado II - Gerês/Cabreira, Ferreiros, PRT
| | | | - Ana Carvoeiro
- Internal Medicine, Unidade Local de Saúde do Alto Minho (ULSAM) - Hospital de Santa Luzia, Viana do Castelo, PRT
| |
Collapse
|
2
|
Petit R, Izambart J, Guillou M, da Silva Almeida JRG, de Oliveira Junior RG, Sol V, Ouk TS, Grougnet R, Quintans-Júnior LJ, Sitarek P, Thiéry V, Picot L. A Review of Phototoxic Plants, Their Phototoxic Metabolites, and Possible Developments as Photosensitizers. Chem Biodivers 2024; 21:e202300494. [PMID: 37983920 DOI: 10.1002/cbdv.202300494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 11/17/2023] [Accepted: 11/17/2023] [Indexed: 11/22/2023]
Abstract
This study provides a comprehensive overview of the current knowledge regarding phototoxic terrestrial plants and their phototoxic and photosensitizing metabolites. Within the 435,000 land plant species, only around 250 vascular plants have been documented as phototoxic or implicated in phototoxic occurrences in humans and animals. This work compiles a comprehensive catalog of these phototoxic plant species, organized alphabetically based on their taxonomic family. The dataset encompasses meticulous details including taxonomy, geographical distribution, vernacular names, and information on the nature and structure of their phototoxic and photosensitizing molecule(s). Subsequently, this study undertook an in-depth investigation into phototoxic molecules, resulting in the compilation of a comprehensive and up-to-date list of phytochemicals exhibiting phototoxic or photosensitizing activity synthesized by terrestrial plants. For each identified molecule, an extensive review was conducted, encompassing discussions on its phototoxic activity, chemical family, occurrence in plant families or species, distribution within different plant tissues and organs, as well as the biogeographical locations of the producer species worldwide. The analysis also includes a thorough discussion on the potential use of these molecules for the development of new photosensitizers that could be used in topical or injectable formulations for antimicrobial and anticancer phototherapy as well as manufacturing of photoactive devices.
Collapse
Affiliation(s)
- Raphaëlle Petit
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
| | - Jonathan Izambart
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
| | - Mathieu Guillou
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
| | | | - Raimundo Gonçalves de Oliveira Junior
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
- Franco-Brazilian Network on Natural Products, FB2NP
- UMR CNRS 8038 CiTCoM, Université Paris Cité, 75006, Paris, France
| | - Vincent Sol
- Franco-Brazilian Network on Natural Products, FB2NP
- LABCiS, UR 22722, Université de Limoges, 87000, Limoges, France
| | - Tan-Sothea Ouk
- Franco-Brazilian Network on Natural Products, FB2NP
- LABCiS, UR 22722, Université de Limoges, 87000, Limoges, France
| | - Raphaël Grougnet
- Franco-Brazilian Network on Natural Products, FB2NP
- UMR CNRS 8038 CiTCoM, Université Paris Cité, 75006, Paris, France
| | - Lucindo José Quintans-Júnior
- Franco-Brazilian Network on Natural Products, FB2NP
- LANEF, Universidade Federal de Sergipe, 49100-000, São Cristóvão, Sergipe, Brazil
| | | | - Valérie Thiéry
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
- Franco-Brazilian Network on Natural Products, FB2NP
| | - Laurent Picot
- UMR CNRS 7266 LIENSs, La Rochelle Université, UMR CNRS 7266 LIENSs, Curie B10 Faculté des Sciences et Technologies, Avenue Michel Crépeau, 17042, La Rochelle, France
- Franco-Brazilian Network on Natural Products, FB2NP
| |
Collapse
|
3
|
Ljevnaić-Mašić B, Nikolić L, Džigurski D, Brdar-Jokanović M, Meseldžija M. Relationship Between Eco-Biological Characteristics of Allergenic Plants in Assessment on Habitat Conditions Affecting on Their Development Along the Canal Network. CONTEMP PROBL ECOL+ 2020. [DOI: 10.1134/s1995425520060098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
4
|
Kim JC, Kim SM, Kang B, Kang HY. Citrus fruit-induced hyperpigmentation: An in vivo example of melanocyte behavior following acute UV overexposure. PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE 2020; 36:248-250. [PMID: 32027417 DOI: 10.1111/phpp.12539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 01/02/2020] [Accepted: 02/03/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Jin Cheol Kim
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
| | - So Min Kim
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
| | - Bogyeong Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea.,Department of Biomedical Science, The Graduate School, Ajou University, Suwon, Korea
| | - Hee Young Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
| |
Collapse
|
5
|
Mateus JE, Silva CD, Ferreira M, Porto J. Phytophotodermatitis: still a poorly recognised diagnosis. BMJ Case Rep 2018; 2018:bcr-2018-227859. [DOI: 10.1136/bcr-2018-227859] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
6
|
Choi JY, Hwang S, Lee SH, Oh SH. Asymptomatic Hyperpigmentation without Preceding Inflammation as a Clinical Feature of Citrus Fruits-Induced Phytophotodermatitis. Ann Dermatol 2017; 30:75-78. [PMID: 29386836 PMCID: PMC5762480 DOI: 10.5021/ad.2018.30.1.75] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 05/24/2017] [Accepted: 06/05/2017] [Indexed: 11/15/2022] Open
Abstract
Phytophotodermatitis is a condition that occurs by contact with plants containing phototoxic agents such as furocoumarins and psoralens with subsequent ultraviolet exposure. Phytophotodermatitis typically presents as sharply defined erythematous patches with occasional blistering, sometimes accompanied with pain or itching sensation. In some cases, however, sudden appearance of asymptomatic hyperpigmentation can be the only clinical finding of phytophotodermatitis. Here, we present two patients with sudden development of asymptomatic pigmentation on their hand without preceding inflammation by the contact with citrus fruits containing photosensitizers and subsequent exposure to strong sunlight. As like these patients, phytophotodermatitis can present with only pigmentation without noticeable inflammation especially in dark skinned people. In such cases, physician can sometimes have difficulty in diagnosis of phytophotodermatitis. Therefore, it is important to consider the possibility of phytophotodermatitis through careful history taking, especially in patients who have abruptly developed well-defined hyperpigmentation on sun-exposed areas, to avoid unnecessary test and treatment.
Collapse
Affiliation(s)
- Ji Young Choi
- Department of Dermatology, Gangnam Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Shinwon Hwang
- Department of Dermatology and Cutaneous Biology Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Si-Hyung Lee
- Department of Dermatology and Cutaneous Biology Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Sang Ho Oh
- Department of Dermatology and Cutaneous Biology Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| |
Collapse
|
7
|
Machado M, Vidal RL, Cardoso P, Coelho S. Phytophotodermatitis: a diagnosis to consider. BMJ Case Rep 2015; 2015:bcr-2015-213388. [PMID: 26698211 DOI: 10.1136/bcr-2015-213388] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Marta Machado
- Department of Pediatrics, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
| | - Rita Lacerda Vidal
- Department of Pediatrics, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
| | - Patrícia Cardoso
- Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Sónia Coelho
- Department of Dermatology, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
| |
Collapse
|
8
|
Oliveira JDA, da Silva ICG, Trindade LA, Lima EO, Carlo HL, Cavalcanti AL, de Castro RD. Safety and Tolerability of Essential Oil from Cinnamomum zeylanicum Blume Leaves with Action on Oral Candidosis and Its Effect on the Physical Properties of the Acrylic Resin. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2014; 2014:325670. [PMID: 25574178 PMCID: PMC4276295 DOI: 10.1155/2014/325670] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Revised: 10/28/2014] [Accepted: 11/13/2014] [Indexed: 01/18/2023]
Abstract
The anti-Candida activity of essential oil from Cinnamomum zeylanicum Blume, as well as its effect on the roughness and hardness of the acrylic resin used in dental prostheses, was assessed. The safety and tolerability of the test product were assessed through a phase I clinical trial involving users of removable dentures. Minimum inhibitory concentration (MIC) and minimum fungicidal concentrations (MFC) were determined against twelve Candida strains. Acrylic resin specimens were exposed to artificial saliva (GI), C. zeylanicum (GII), and nystatin (GIII) for 15 days. Data were submitted to ANOVA and Tukey posttest (α = 5%). For the phase I clinical trial, 15 healthy patients used solution of C. zeylanicum at MIC (15 days, 3 times a day) and were submitted to clinical and mycological examinations. C. zeylanicum showed anti-Candida activity, with MIC = 625.0 µg/mL being equivalent to MFC. Nystatin caused greater increase in roughness and decreased the hardness of the material (P < 0.0001), with no significant differences between GI and GII. As regards the clinical trial, no adverse clinical signs were observed after intervention. The substance tested had a satisfactory level of safety and tolerability, supporting new advances involving the clinical use of essential oil from C. zeylanicum.
Collapse
Affiliation(s)
| | | | - Leonardo Antunes Trindade
- Post-Graduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, Brazil
| | - Edeltrudes Oliveira Lima
- Post-Graduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, Brazil
| | - Hugo Lemes Carlo
- Post-Graduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, Brazil
| | | | - Ricardo Dias de Castro
- Post-Graduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, Brazil
- Post-Graduate Program in Dentistry, State University of Paraíba, Campina Grande, PB, Brazil
| |
Collapse
|
9
|
Cestari TF, Dantas LP, Boza JC. Acquired hyperpigmentations. An Bras Dermatol 2014; 89:11-25. [PMID: 24626644 PMCID: PMC3938350 DOI: 10.1590/abd1806-4841.20142353] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2012] [Accepted: 03/25/2013] [Indexed: 01/15/2023] Open
Abstract
Cutaneous hyperpigmentations are frequent complaints, motivating around 8.5% of all
dermatological consultations in our country. They can be congenital, with different
patterns of inheritance, or acquired in consequence of skin problems, systemic
diseases or secondary to environmental factors. The vast majority of them are linked
to alterations on the pigment melanin, induced by different mechanisms. This review
will focus on the major acquired hyperpigmentations associated with increased
melanin, reviewing their mechanisms of action and possible preventive measures.
Particularly prominent aspects of diagnosis and therapy will be emphasized, with
focus on melasma, post-inflammatory hyperpigmentation, periorbital pigmentation,
dermatosis papulosa nigra, phytophotodermatoses, flagellate dermatosis, erythema
dyschromicum perstans, cervical poikiloderma (Poikiloderma of Civatte), acanthosis
nigricans, cutaneous amyloidosis and reticulated confluent dermatitis
Collapse
Affiliation(s)
- Tania Ferreira Cestari
- Rio Grande do Sul Federal University, Internal Medicine Department, Porto Alegre(RS), Brazil, PhD - Associate Professor at the Internal Medicine Department, at Rio Grande do Sul Federal University (UFRGS). Teaching Professor at the Child and Adolescent Health Sciences and the Surgical Post-Graduation Programs at Rio Grande do Sul Federal University (UFRGS). Chief of the Dermatology Department at Porto Alegre Clinics Hospital - Rio Grande do Sul Federal University (HCPA-UFRGS) - Porto Alegre (RS), Brazil
| | - Lia Pinheiro Dantas
- Rio Grande do Sul Federal University, Medical Sciences Post Graduation program, Porto AlegreRS, Brazil, MD, Dermatologist, MSc (in course) at the Medical Sciences Post Graduation program at Rio Grande do Sul Federal University (UFRGS) - Porto Alegre (RS), Brazil
| | - Juliana Catucci Boza
- Rio Grande do Sul Federal University, Child and Adolescent Health Sciences Post Graduation Program, Porto AlegreRS, Brazil, MD, Dermatologist, PhD (in course) at the Child and Adolescent Health Sciences Post Graduation Program at Rio Grande do Sul Federal University (UFRGS) - Porto Alegre (RS), Brazil
| |
Collapse
|