[57-years old patient with bulla and striatic erythema located at the limbs].

Abstract

HISTORY:

A female patient aged 57 presented at the emergency room with painful skin lesions after repeated gardening days. Bullae and striate erythema were ovserved in light exposed areas. The patient was transferred to the Dermatology Department at the University hospital Jena, Germany.

FINDINGS AND DIAGNOSIS:

Blood test showed raised levels of inflammation parameters. The general body examination showed no abnormalities. Dermatits bullosa pratensis (grass dermatitis), was diagnosed, based on the patient case history, the examination results and the typical skin lesions.

THERAPY AND COURSE:

Treatment with intravenous corticosteroids, followed by topical steroids and sterile punctures of blisters was prescribed.

CONCLUSIONS:

Dermatits bullosa pratensis, is a skin condition appearing during the summer season in Germany. It belongs to the photo phytotoxic dermatitis types and is induced by phytochemicals in combination with UV-light. It is therefore important to take appropriate skin protective safety measures when touching plant containing phytochemicals in sunlight. In this way dermatitis bullosa pratensis can be easily avoided.

• Authors: Christina Münchhoff-Barker, Jörg Tittelbach, Peter Elsner
• Journal: Deutsche medizinische Wochenschrift (1946) (Dtsch Med Wochenschr) Vol. 145 Issue 24 Pg. 1795-1798 (12 2020) ISSN: 1439-4413 [Electronic] Germany
• Vernacular Title: 57-jährige Patientin mit Blasen und striatiformen Erythemen an den Extremitäten.
• PMID: 33254257 (Publication Type: Case Reports, Journal Article)
• Copyright: Thieme. All rights reserved.

Chemical References

• Adrenal Cortex Hormones
• Phytochemicals

Topics

• Adrenal Cortex Hormones (therapeutic use)
• Aged
• Blister (diagnosis, drug therapy, etiology, pathology)
• Dermatitis (diagnosis, drug therapy, etiology, pathology)
• Erythema (diagnosis, drug therapy, etiology, pathology)
• Extremities (pathology)
• Female
• Humans
• Phytochemicals (toxicity)
• Skin (pathology)
• Ultraviolet Rays (adverse effects)