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: Article in Journal/Newspaper
• Language: English
• Published: 2018
• Subjects: dermatological; dermatology; exposures; global health; travel medicine; Arctic; Greenland; midnight sun
• Online Access: https://pure.au.dk/portal/da/publications/challenging-cause-of-bullous-eruption-of-the-hands-in-the-arctic(30825ab8-eef2-4aa1-8ee4-34cae5ca2637).html; https://doi.org/10.1136/bcr-2018-225981; http://www.scopus.com/inward/record.url?scp=85056429494&partnerID=8YFLogxK

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.