{"id":915,"date":"2026-03-30T19:00:04","date_gmt":"2026-03-30T17:00:04","guid":{"rendered":"https:\/\/epilogy.org\/?p=915"},"modified":"2026-04-01T16:04:23","modified_gmt":"2026-04-01T14:04:23","slug":"phytophotodermatitis-an-under-recognized-diagnostic-pitfall-in-chemical-burn","status":"publish","type":"post","link":"https:\/\/epilogy.org\/fr\/phytophotodermatitis-an-under-recognized-diagnostic-pitfall-in-chemical-burn","title":{"rendered":"Les phytophotodermatoses : un pi\u00e8ge diagnostique m\u00e9connu des br\u00fblures chimiques"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"915\" class=\"elementor elementor-915\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1be6ec4 e-flex e-con-boxed e-con e-parent\" data-id=\"1be6ec4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-81e3601 elementor-widget elementor-widget-html\" data-id=\"81e3601\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<style>\n.epilogy-accordion{\nbackground:#ffffff;\nborder:1px solid #ead3ee;\nborder-radius:8px;\npadding:20px;\nmargin:24px 0;\nfont-size:13px;\ncolor:#54595F;\nline-height:1.7;\nbox-shadow:0 2px 8px rgba(0,0,0,0.04);\n}\n\n.epilogy-accordion details{\nborder-top:1px solid #eee;\npadding:10px 0;\n}\n\n.epilogy-accordion details:first-of-type{\nborder-top:none;\n}\n\n.epilogy-accordion summary{\ncursor:pointer;\nfont-weight:600;\ncolor:#7C2A86;\nfont-size:13px;\nlist-style:none;\nposition:relative;\npadding-left:18px;\n}\n\n.epilogy-accordion summary::before{\ncontent:\"+\";\nposition:absolute;\nleft:0;\ntop:0;\n}\n\n.epilogy-accordion details[open] summary::before{\ncontent:\"\u2013\";\n}\n\n.epilogy-highlight{\nbackground:#FADFFF;\npadding:14px;\nborder-radius:6px;\nmargin-top:18px;\nfont-size:13px;\nborder-left:4px solid #7C2A86;\n}\n\n.epilogy-highlight h3{\nmargin:0 0 6px 0;\ncolor:#7C2A86;\nfont-size:13px;\n}\n\n.epilogy-highlight a{\nfont-size:12px;\nopacity:0.9;\n}\n\n.epilogy-authors{\nmargin-top:20px;\npadding-top:14px;\nborder-top:1px solid #eee;\n}\n\n.epilogy-authors-title{\nfont-weight:600;\ncolor:#7C2A86;\nmargin-bottom:10px;\n}\n\n.epilogy-authors-grid{\ndisplay:grid;\ngrid-template-columns:repeat(3,1fr);\ngap:10px;\ntext-align:center;\njustify-items:center;\n}\n\n.epilogy-authors-grid img{\nwidth:70px;\nheight:70px;\nobject-fit:cover;\nborder-radius:100%;\nfilter:grayscale(100%);\ntransition:all .2s ease;\n}\n\n.epilogy-authors-grid img:hover{\nfilter:grayscale(0%);\ntransform:scale(1.05);\n}\n\n.epilogy-authors-grid span{\ndisplay:block;\nmargin-top:6px;\nfont-size:12px;\n}\n<\/style>\n\n<div class=\"epilogy-accordion\">\n\n<details open>\n<summary>Background<\/summary>\n<p>\nPhytophotodermatitis is a rare and poorly recognized cause of chemical burns. It consists of a non-immunologic cutaneous reaction caused by exposure to plants containing photosensitizing substances, followed by ultraviolet (UV) radiation exposure. The clinical manifestations resemble those of second-degree burns. Numerous differential diagnoses are possible. Diagnosis is based on a detailed history, highlighting the characteristic temporal sequence of contact with a phototoxic substance followed by UV exposure. Treatment is mainly symptomatic.\n<\/p>\n<\/details>\n\n<details>\n<summary>Objectives<\/summary>\n<p>\nThis study aims to report five cases of phytophotodermatitis and to provide an overview of its diagnosis and management.\n<\/p>\n<\/details>\n\n<details>\n<summary>Methods<\/summary>\n<p>\nWe report five cases managed in the Plastic Surgery Department at Montpellier University Hospital between April 2015 and May 2024. Data collected included demographic characteristics, time to diagnosis, aetiology, duration of management and healing, potential need for surgical intervention, and long-term complications.\n<\/p>\n<\/details>\n\n<details>\n<summary>Results<\/summary>\n<p>\nThe implicated plant species belonged to the families Apiaceae (2 cases), Moraceae (1 case), and Rutaceae (2 cases). The mean time to symptom onset was 28.8h. Cutaneous manifestations included erythema (5 cases), vesicles (2 cases), and bullae (3 cases). All patients received immediate irrigation of the affected areas with water, followed by topical corticosteroid therapy. None of the patients required surgical management to achieve re-epithelialization. Post-inflammatory hyperpigmentation persisted as a sequela in one case.\n<\/p>\n<\/details>\n\n<details>\n<summary>Conclusion<\/summary>\n<p>\nA thorough history is essential to identify the characteristic temporal sequence and to initiate treatment promptly. Management primarily relies on analgesics and topical corticosteroids dressings, with rapid healing in most cases. Long-term sequelae may include persistent cutaneous hyperpigmentation for several years.\n<\/p>\n<\/details>\n\n<div class=\"epilogy-authors\">\n<div class=\"epilogy-authors-title\">Epilogy team author<\/div>\n\n<div class=\"epilogy-authors-grid\">\n<div>\n<img decoding=\"async\" src=\"https:\/\/epilogy.org\/wp-content\/uploads\/2026\/03\/Quentin_Samaran.jpg\">\n<span>Quentin Samaran<\/span>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"epilogy-highlight\">\n<h3>Phytophotodermatitis: An under-recognized diagnostic pitfall in chemical burn<\/h3>\n<p style=\"margin:0;\">\n<a href=\"https:\/\/doi.org\/10.1016\/j.anplas.2026.01.006\" target=\"_blank\">\nhttps:\/\/doi.org\/10.1016\/j.anplas.2026.01.006\n<\/a>\n<\/p>\n<\/div>\n\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-db348a9 e-flex e-con-boxed e-con e-parent\" data-id=\"db348a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-661340b elementor-widget elementor-widget-html\" data-id=\"661340b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\ndocument.querySelectorAll('.epilogy-accordion details').forEach((detail) => {\n  detail.addEventListener('toggle', function() {\n    if (this.open) {\n      document.querySelectorAll('.epilogy-accordion details').forEach((other) => {\n        if (other !== this) {\n          other.removeAttribute('open');\n        }\n      });\n    }\n  });\n});\n<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Background Phytophotodermatitis is a rare and poorly recognized cause of chemical burns. It consists of a non-immunologic cutaneous reaction caused by exposure to plants containing photosensitizing substances, followed by ultraviolet (UV) radiation exposure. The clinical manifestations resemble those of second-degree burns. Numerous differential diagnoses are possible. Diagnosis is based on a detailed history, highlighting the&hellip;&nbsp;<a href=\"https:\/\/epilogy.org\/fr\/phytophotodermatitis-an-under-recognized-diagnostic-pitfall-in-chemical-burn\" rel=\"bookmark\"><span class=\"screen-reader-text\">Les phytophotodermatoses : un pi\u00e8ge diagnostique m\u00e9connu des br\u00fblures chimiques<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":1118,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":70,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[1,18,20],"tags":[],"class_list":["post-915","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-epilogy","category-epinews","category-last-publications"],"_links":{"self":[{"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/posts\/915","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/comments?post=915"}],"version-history":[{"count":11,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/posts\/915\/revisions"}],"predecessor-version":[{"id":1188,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/posts\/915\/revisions\/1188"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/media\/1118"}],"wp:attachment":[{"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/media?parent=915"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/categories?post=915"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/epilogy.org\/fr\/wp-json\/wp\/v2\/tags?post=915"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}