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Phytophotodermatitis: still a poorly recognised diagnosis
  1. José Eduardo Mateus1,2,
  2. Carlos Dias Silva1,2,
  3. Mafalda Ferreira1,
  4. João Porto1
  1. 1Internal Medicine Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  2. 2Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
  1. Correspondence to Dr José Eduardo Mateus, zeduardomateus{at}

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A 30-year-old man, forestry worker, with no medical history, presented acutely with pruritic erythematous streaks and bullae (figure 1) in linear configuration on his arms. On the previous day he had pruned branches from a fig tree and carried them with his forearms wearing a sleeveless shirt. Symptoms gradually resolved over 4 weeks of topical treatment with clobetasol propionate 0.05% cream (figure 2).

Figure 1

Bullae and irregular pigmented lesions on both arms. …

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