Phytophototoxin Poisoning Follow-up

Updated: Apr 20, 2015
  • Author: Toluwumi Jegede, MD; Chief Editor: Asim Tarabar, MD  more...
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Follow-up

Further Outpatient Care

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  • If symptoms persist or worsen instead of improving, other illnesses, such as the primary light disorders, should be considered and further evaluation is warranted by a dermatologist.
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Further Inpatient Care

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  • In general, the care of phototoxicity is provided in the outpatient setting.
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Deterrence/Prevention

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  • Limit or avoid contact with the specific plant.
  • Limit sun exposure.
  • Regular use of a UV-A-blocking sunscreen may help to prevent phytophotodermatitis.
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Complications

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  • Long-term exposure and severe reactions may result in hyperpigmentation requiring continued topical steroid treatment.
  • Secondary wound infection may occur.
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Prognosis

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  • Significant long-term skin changes (hyperpigmentation, scarring) can occur with chronic exposure.
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Patient Education

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  • Patients should be educated regarding plants that produce phytophototoxicity in order to avoid skin exposure.
  • Patients may be counseled to wear gloves and skin coverings when their work necessitates ongoing exposure to these plant oils and to the sun.
  • Patients should be educated regarding use of appropriate sunscreens when sun-exposed.
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