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白鲜引起的大疱性光毒性接触性皮炎。《圣经》中的“燃烧的荆棘”?

[Bullous phototoxic contact dermatitis caused by Dictamnus albus. The Bible's "burning bush"?].

作者信息

Knüchel M, Luderschmidt C

出版信息

Dtsch Med Wochenschr. 1986 Sep 19;111(38):1445-7. doi: 10.1055/s-2008-1068649.

Abstract

A bullous phototoxic reaction occurred in a 27-year-old man working with the plant Dictamnus albus. The skin changes disappeared, leaving behind areas of hyperpigmentation, after treatment with corticoid-containing ointments. Possible causes are 5- and 8-methoxypsoralen, perhaps also photodynamically active alkaloids of the plant, as well as sun-ray exposure and sweating. Dictamnus albus may be the biblical "burning bush". Since the plant becoming ever more popular in German gardens, a phytophototoxic reaction should be considered in the differential diagnosis of the described symptoms.

摘要

一名27岁从事白鲜属植物工作的男子发生了大疱性光毒性反应。使用含皮质类固醇的药膏治疗后,皮肤变化消失,留下色素沉着区域。可能的原因是5-甲氧基补骨脂素和8-甲氧基补骨脂素,或许还有该植物具有光动力活性的生物碱,以及阳光照射和出汗。白鲜属植物可能就是圣经中的“燃烧的荆棘”。由于这种植物在德国花园中越来越受欢迎,在对所述症状进行鉴别诊断时应考虑植物性光毒性反应。

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