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Phytophotodermatitis: a diagnosis to consider
  1. Marta Machado1,
  2. Rita Lacerda Vidal1,
  3. Patrícia Cardoso2,
  4. Sónia Coelho3
  1. 1Department of Pediatrics, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  2. 2Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  3. 3Department of Dermatology, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  1. Correspondence to Patrícia Cardoso, patricia.neves.cardoso{at}

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A 3-year-old boy presented with pigmented (brownish) macules on his hands (figure 1), left arm (figure 2) and face (figure 3). The lesions appeared days after the boy played with common rue and were best noticed after sun exposure. Topical treatment with methylprednisolone 0.1% cream led to complete resolution within 2 weeks.

Figure 1

Irregular pigmented lesions on both hands.

Figure 2

Irregular pigmented lesion on left arm.

Figure 3

Irregular facial pigmented lesion.

Rue (Ruta …

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