A 9-month-old was brought with distinct, red, blistering skin patches on both cheeks and chin, which had developed over two days. The child did not have a fever, other accompanying symptoms, or any involvement of the mucous membranes.
Detailed history revealed that the child had eaten and subsequently vomited mashed parsnips shortly before sun exposure during a summer beach picnic. This sequence of events occurred approximately six hours before the appearance of the initially red, swollen, and well-defined skin lesions.
The provisional diagnosis was parsnip phytophotodermatosis on the face. Treatment with hydrocortisone butyrate 0.1% for a week resulted in the complete resolution of the skin lesions.
Source: Chene L, Chiaverini C, Kandemir S, Hubiche T. The Journal of Pediatrics. 2023 Sep 9.
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