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- $Unique_ID{BRK00591}
- $Pretitle{}
- $Title{Does "Perfume Dermatitis" Mean Deep Trouble?}
- $Subject{dermatitis rash sunlight Skin lifestyle lifestyles
- phytophotodermatitis hyperpigmentation furocoumarin ultraviolet Creams
- ointments corticosteroids}
- $Volume{L-23}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Does "Perfume Dermatitis" Mean Deep Trouble?
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-
- QUESTION: I suddenly broke out with a rash that caused burning pain and
- blistered. I am not an allergic person, and had not been near anything
- unusual, but my doctor provided me with a diagnosis of "perfume dermatitis".
- Now the area where the rash appeared is blotchy and darker than the
- surrounding skin. Does any of this sound reasonable to you or am I in deep
- trouble?
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-
- ANSWER: No, you are not "in deep trouble," although the darker pigmented or
- colored area may remain the way it is now for quite some time. Actually you
- were lucky to have the acute burning rash first, since this condition (it is
- called a "phytophotodermatitis" in medical parlance) often skips the acute
- phase, producing only the coloration (hyperpigmentation) and making the
- diagnosis a very difficult one to make. The condition develops when the skin
- has been in contact with a class of chemical compounds (furocoumarins) that
- sensitizes it to the ultraviolet rays of the sun. These compounds are
- contained in many fruits and vegetables, including limes, lemons, citrus and
- parsley. Since some perfumes contain oil of bergamot, which is produced from
- the rind of the bergamot orange, and since this oil contains a furocoumadin,
- the first step in the process occurred when you put on your good smelling
- stuff. The second step happened when you walked out into the rays of the sun.
- Usually the rash develops about 48 hours after this exposure, and can be quite
- painful. Creams and ointments containing corticosteroids are quite effective
- for controlling the acute phase, but should not be used now to treat the
- pigmentation of the skin. Incidentally, the condition is also known as "the
- Club Med Rash" as it appears frequently after a game that requires one partner
- to roll a lime up and down the skin of the other partner, just using the chin
- to manipulate the lime. Oh to be young (and foolish) again!
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-