August 8, 1931


JAMA. 1931;97(6):390. doi:10.1001/jama.1931.27310060001009

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No case of eczema due to lemon peel could be found in the literature; hence this report.

J. H., a white man, aged 23, was employed by a beverage manufacturing company for four weeks. A week after he began work he was assigned the task of peeling lemons by hand. Itching sensations, followed by an eruption on the hands and forearms, began soon thereafter. In the midst of the peeling operation he would rub both hands and arms to get relief. When first seen, May 2, 1931, he presented an erythematous, vesicular eruption on the dorsum of each hand and on the anterior and posterior aspects of the forearms. A few scattered minute pustules were on the back of the hands. An erythematous vesicular eruption was found on his chin and neck.

Contact tests were carried out with fresh lemon peel and lemon juice. These were negative for the lemon

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