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September 1973

Phytodermatitis From Hydrangeas

Author Affiliations

Geelong, Australia

Arch Dermatol. 1973;108(3):427. doi:10.1001/archderm.1973.01620240073032

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To the Editor, Case 1.—  A 59-year-old florist complained of an itchy rash on his hands for several weeks and was first seen on March 20, 1970. There was no history of skin disease, and there was no family history of atopy.There was an erythrovesicular eruption affecting the dorsal aspects of the hands symmetrically, especially on the posterior and lateral aspects of his fingers. Also, the eruption was present on the flexore aspects of both wrists. The palms were not affected.A provisional diagnosis of contact dermatitis was made. Patch testing against various flowers and leaves that were used in his business was carried out. There was a strong positive patch test to hydrangeas.The patient was made aware of his sensitivity and his condition cleared after topically applied steroids. However, in March 1971, there was an exacerbation of the condition, and he admitted that he had once

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