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Case Reports
. 2007 Nov;57(5 Suppl):S88-91.
doi: 10.1016/j.jaad.2006.08.034.

Phytophotodermatitis in 19 children admitted to hospital and their differential diagnoses: Child abuse and herpes simplex virus infection

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Case Reports

Phytophotodermatitis in 19 children admitted to hospital and their differential diagnoses: Child abuse and herpes simplex virus infection

Karen Carlsen et al. J Am Acad Dermatol. 2007 Nov.

Abstract

Background: Phytophotodermatitis is a non-immunologic cutaneous reaction that can be provoked after contact with plants containing psoralens followed by sun exposure.

Objectives: The purpose of this study is to describe the clinical features of phytophotodermatitis and its differential diagnoses, especially child abuse and herpes virus infection.

Methods: Nineteen children seen in two county hospitals are described.

Results: The 19 children had various cutaneous manifestations, which were mistaken in one patient for child abuse and in one child for herpes simplex virus infection.

Limitations: The doctors' perception is based on the doctors' education.

Conclusion: Children are susceptible to contact with psoralen-containing plants followed by sun exposure. Phytophotodermatitis is a difficult diagnosis, which can sometimes lead to the inappropriate investigation of child abuse or herpes simplex virus infection.

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