Pediatr. praxi. 2025;26(3):176-178 | DOI: 10.36290/ped.2025.034

Phytophotodermatitis as an unexpected danger: How to protect yourself and what to do?

MUDr. Júlia Bartková, MBA, MPH^{1, 2}, Sandra Harásková², Lucie Burešová², MUDr. Dominika Miklišová³

¹ Klinika popálenin a plastické chirurgie, Fakultní nemocnice Brno

² Lékařská fakulta Masarykovy univerzity, Brno

³ Klinika traumatologie, Lékařská fakulta, Masarykova univerzita, Brno, Úrazová nemocnice Brno

Phytophotodermatitis, although not very common, presents a significant health risk, especially in pediatric patients. This article focuses on the phototoxic properties of plants that can cause severe phytophotodermatitis after contact with the skin follo­wed by exposure to UV radiation. The most prominent representative of this group of plants is Giant Hogweed (Heracleum mantegazzianum). Typical clinical manifestations of phytophotodermatitis include erythema, blisters, bullae, and persistent hyperpigmentation. The condition can manifest with varying severity, ranging from erythema to necrotizing defects. It is important to consider the possibility of phytophotodermatitis in cases of skin lesions where the cause is not immediately clear. This condition is often overlooked because its symptoms may be mistaken for other skin problems. Prolonged healing, increased sensitivity to light, and the possibility of incorrect diagnoses, such as misinterpretation as a herpes infection or even child abuse, emphasize the necessity for accurate diagnosis and timely treatment. The article discusses prevention strategies, first aid, and treatment options. A thorough anamnesis is crucial for an accurate diagnosis, as it helps identify possible risk factors, such as contact with a specific plant. Increasing awareness of this condition and improving treatment protocols are the primary goals of this article, aiming to improve patient outcomes and deepen knowledge in the treatment of phytophotodermatitis caused by plants, particularly in pediatric patients.

Keywords: phytophotodermatitis, wound management, giant hogweed.

Accepted: June 16, 2025; Published: July 4, 2025  Show citation