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The lesions appeared 36<span class="elsevierStyleHsp" style=""></span>h after a party in Mallorca, where she was sunbathing and preparing and consuming mojitos (cocktail made of the combination of rum, soda, mint, sugar and lime).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">With this, lime-induced phytophotodermatitis was diagnosed.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Phytophotodermatitis is an acute skin reaction that occur 24–48<span class="elsevierStyleHsp" style=""></span>h after contact with plants or their derivatives containing phototoxic substances (furocoumarins or psoralens), followed by exposure to ultraviolet A (UVA) light (320–400<span class="elsevierStyleHsp" style=""></span>nm) and some skin moisture that facilitates the photosensitizer's penetration. They are characterized by the presence of erythema, oedema, vesicles and/or blisters. The lesions are located in bare areas and characteristically show a linear arrangement, performing the differential diagnosis with connective tissue diseases, chemical dermatitis, reactions to topical or systemic medications such as bleomycin, perfumes, cosmetics, or foods such as <span class="elsevierStyleItalic">Shiitake.</span> The lesions on the back of the hands and neckline stand out in our patient, all connected with the preparation of mojitos (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, asterisks).</p><p id="par0020" class="elsevierStylePara elsevierViewall">The treatment consists of the application of moist hot packs, topical corticosteroids and antihistamines. In severe cases, systemic corticosteroids may be used.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Torres-Navarro I, Condiño-Brito E, Botella-Estrada R. Fitofotodermatosis por «mojitos», la otra enfermedad de «lime». Med Clin (Barc). 2018;151:44.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 736 "Ancho" => 1700 "Tamanyo" => 132285 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015100000001/v1_201807170422/S2387020618301943/v1_201807170422/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015100000001/v1_201807170422/S2387020618301943/v1_201807170422/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618301943?idApp=UINPBA00004N" ]
Journal Information
Vol. 151. Issue 1.
Pages 44 (July 2018)
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Vol. 151. Issue 1.
Pages 44 (July 2018)
Image in medicine
“Mojito's” phytophotodermatitis, the other “lime” disease
Fitofotodermatosis por «mojitos», la otra enfermedad de «lime»
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