• Dtsch. Med. Wochenschr. · Dec 2020

    Case Reports

    [57-years old patient with bulla and striatic erythema located at the limbs].

    • Christina Münchhoff-Barker, Jörg Tittelbach, and Peter Elsner.
    • Klinik für Hautkrankheiten, Universitätsklinikum Jena.
    • Dtsch. Med. Wochenschr. 2020 Dec 1; 145 (24): 1795-1798.

    HistoryA female patient aged 57 presented at the emergency room with painful skin lesions after repeated gardening days. Bullae and striate erythema were ovserved in light exposed areas. The patient was transferred to the Dermatology Department at the University hospital Jena, Germany.Findings And DiagnosisBlood test showed raised levels of inflammation parameters. The general body examination showed no abnormalities. Dermatits bullosa pratensis (grass dermatitis), was diagnosed, based on the patient case history, the examination results and the typical skin lesions.Therapy And CourseTreatment with intravenous corticosteroids, followed by topical steroids and sterile punctures of blisters was prescribed.ConclusionsDermatits bullosa pratensis, is a skin condition appearing during the summer season in Germany. It belongs to the photo phytotoxic dermatitis types and is induced by phytochemicals in combination with UV-light. It is therefore important to take appropriate skin protective safety measures when touching plant containing phytochemicals in sunlight. In this way dermatitis bullosa pratensis can be easily avoided.Thieme. All rights reserved.

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