Clinical Vignette 4

Image 4:

A young girl back from a Mexican vacation 3 days earlier presented with painless linear and serpiginous lesions on her legs.She had no systemic complaints. She had been lying on the beach.

Diagnosis:

This is phytophotodermatitis caused by the photosensitizing psoralen-containing compounds in the lime peel. She had had lime wedges stuck on her beer glass; the lime skin psoralens dripped down the side of the glass with water condensation and dripped on her leg. Voila, local sunburn.  

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