Dermatologic clinical case

Authors

  • Raquel Santos Department of Pediatrics, Unidade Local de Saúde Trás-os-Montes e Alto Douro https://orcid.org/0000-0003-3936-6854
  • Carolina Quintela Department of Pediatrics, Unidade Local de Saúde Trás-os-Montes e Alto Douro https://orcid.org/0000-0002-9891-9271
  • Joana Azevedo Silva Department of Pediatrics, Unidade Local de Saúde Trás-os-Montes e Alto Douro https://orcid.org/0000-0002-0780-9270
  • Lígia Peralta Department of Pediatrics, Unidade Local de Saúde Trás-os-Montes e Alto Douro https://orcid.org/0000-0001-9804-9598
  • Aida Sá Department of Pediatrics, Unidade Local de Saúde Trás-os-Montes e Alto Douro

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v34.i2.38719

Keywords:

contact dermatitis, phytophotodermatosis, rue

Abstract

Phytophotodermatosis (PPD) is a skin reaction caused by contact with furocoumarins, photosensitizing substances present in certain plants, followed by exposure to ultraviolet radiation. Herein we report a case of a 17-year-old teenager who developed a cutaneous reaction after using rue (Ruta graveolens) as a homemade treatment for acne. The condition presented with a characteristic inflammatory phase, followed by a hyperpigmentation phase. A diagnosis of PPD due to rue was established, and with rue eviction there was a full resolution.
The authors aim to raise awareness about this condition which requires a high level of clinical suspicion for identifying the etiological agent. Prompt recognition and intervention are crucial in preventing the worsening and recurrence of the reaction.

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References

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Eickhorst K, DeLeo V, Csaposs J. Rue the herb: Ruta graveolens--associated phytophototoxicity. Dermatitis. 2007;18(1):52-55. doi: https://doi.org/10.2310/6620.2007.06033.

Bravo BS, Balassiano LK. Fitofotodermatite por Ruta graveolens com manifestação cutânea extensa. Rev Bras Queimaduras. 2014;13(3):177-9.

Heskel NS, Amon RB, Storrs FJ, White CR Jr. Phytophotodermatitis due to Ruta graveolens. Contact Dermatitis. 1983;9(4):278-280. doi: https://doi.org/10.1111/j.1600-0536.1983.tb04390.x.

Morais P, Mota A, Cunha AP, Peralta L, Azevedo F. Phytophotodermatitis due to homemade ointment for Pediculosis capitis. Contact Dermatitis. 2008;59(6):373-4. doi: https://doi.org/10.1111/j.1600-0536.2008.01451.x.

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Published

2025-06-26

How to Cite

1.
Santos R, Quintela C, Azevedo Silva J, Peralta L, Sá A. Dermatologic clinical case. BGMJ [Internet]. 2025 Jun. 26 [cited 2025 Dec. 9];34(2):87-9. Available from: https://revistas.rcaap.pt/bgmj/article/view/38719

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