Abstract
Occupational skin reactions to plants are common, and under-reported.
Reactions may be irritant, phototoxic, urticarial, or allergic.
Correct identification of the plant is essential. Do not patch test “blind” with an unknown plant as it may cause chemical burns or sensitize the patient.
Urticaria may be chemically or immunologically induced.
Phototoxic reactions are confined to areas exposed to plant material plus UV light. They can be prevented by adequate photoprotection.
Most allergic reactions are caused by a small number of plant families, including Anacardiaceae (e.g., poison ivy) and Compositae or Asteraceae (e.g., chrysanthemum).
Patch testing should be performed in departments with expertise in the technique, using commercially available plant allergens where possible and testing controls to suspected “new” plant allergens.
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Lovell, C.R. (2012). Plants. In: Rustemeyer, T., Elsner, P., John, SM., Maibach, H.I. (eds) Kanerva's Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02035-3_69
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DOI: https://doi.org/10.1007/978-3-642-02035-3_69
Publisher Name: Springer, Berlin, Heidelberg
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