ABSTRACT

This chapter presents the case study of a 33-year-old woman presents with a sudden-onset blistering rash on her legs. On closer questioning she reports no recent history of travel or contact with animals. She has been clearing weeds by hand but wore garden gloves and borrowed a strimmer from a friend to cut through long grass. She felt an intense itching on her lower legs and then noticed blisters in a streaking pattern. Linear vesicular lesions with associated erythema and excoriations are seen on her legs. The patient is suffering from phytophotodermatitis, which is a phototoxic skin eruption. The diagnosis is made on the history of plant exposure and from the clinical appearance of linear blisters, usually on exposed skin. Phytophotodermatitis is a self-limiting skin eruption; however, it is intensely itchy and blistering.