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Challenging cause of bullous eruption of the hands in the Arctic
  1. Bo Kristiansen1,
  2. Luit Penninga2,
  3. Jon Erik Fraes Diernaes3
  1. 1Department of Pulmonary Medicine, Odense University Hospital, Odense, Denmark
  2. 2Ilulissat Hospital, Avannaa Health Region, Ilulissat, Greenland
  3. 3Department of Dermatology and Venereology, Aarhus University Hospital, Aarhus, Denmark
  1. Correspondence to Dr Luit Penninga, LP{at}


Phytophotodermatitis is caused by deposition of photosensitising compounds on the skin followed by ultraviolet exposure. We present an unusual case of a 29-year-old Australian male visiting Greenland who presented with severe itchy bullous eruption on his hands. The cause was a combination of exposure to lime fruit juice and prolonged sun exposure from the Arctic midnight sun.

  • dermatology
  • global health
  • travel medicine
  • dermatological
  • exposures

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  • Contributors All authors have contributed to the manuscript and fulfill the Vancouver criteria for authorship. BK and LP had the idea. BK did the data extraction and made the first draft of the manuscript. LP and JEFD critically revised the manuscript, and all authors agreed on the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.