Challenging cause of bullous eruption of the hands in the Arctic

• Published in: BMJ Case Reports
• Main Authors: Kristiansen, Bo, Penninga, Luit, Diernaes, Jon Erik Fraes
• Format: Text
• Language: English
• Published: BMJ Publishing Group Ltd 2018
• Subjects: Rare disease; Arctic; Greenland; midnight sun
• Online Access: http://casereports.bmj.com/cgi/content/short/2018/nov08_1/bcr-2018-225981; https://doi.org/10.1136/bcr-2018-225981

Phytophotodermatitis is caused by deposition of photosensitising compounds on the skin followed by ultraviolet exposure. We present an unusual case of a 29-year-old Australian male visiting Greenland who presented with severe itchy bullous eruption on his hands. The cause was a combination of exposure to lime fruit juice and prolonged sun exposure from the Arctic midnight sun.