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September 1991

Weed Wacker Dermatitis

Author Affiliations

Department of Dermatology; Department of Pathology Bristol Royal Infirmary Bristol BX2 8HW, United Kingdom; Department of Dermatology Royal Gwent Hospital Cardiff Road Newport NT1 9UB, United Kingdom

Arch Dermatol. 1991;127(9):1419-1420. doi:10.1001/archderm.1991.01680080159028

To the Editor.—  Technological advances regularly produce new diseases. The development of a powered plant cutter with a rapidly rotating nylon-fiber cutting edge, widely referred to as a strimmer, has produced a new form of phytophotodermatitis that may be misdiagnosed because of its unusual morphology and distribution. Herein we report three cases of this distinctive condition.

Report of Cases.—Case 1.—  A 59-year-old man presented in May 1989 with a stinging and burning erythematous rash of 3 days' duration affecting the anterior surface of his trunk and limbs. The face was spared. Examination showed a severe maculopapular rash affecting the anterior trunk from the neck to the waist, the extensor surfaces of the arms, and the anterior aspect of the thighs. The individual papules were bright red, circular or ovoid lesions, 2 to 6 mm in diameter, and some had a central pinpoint hemorrhagic crust. Histologic examination of

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