Guin J D, Skidmore G
Arch Dermatol. 1987 Apr;123(4):500-2.
Compositae dermatitis occurred in a 9-year-old boy with a strong personal and family history of atopy. Positive patch test reactions were 2+ for dandelion (Taraxacum officinale), false ragweed (Ambrosia acanthicarpa), giant ragweed (Ambrosia trifida), short ragweed (Ambrosia artemisifolia), sagebrush (Artemisia tridentata), wild feverfew (Parthenium hysterophorus), yarrow (Achillea millifolium), and tansy (Tanacetum vulgare) and 1+ for Dahlia species and English ivy (Hedera helix). Patch tests were negative for another 30 plants, including cocklebur (Xanthium strumarium), dog fennel (Anthemis cotula, fleabane (Erigeron strigosus), sneezeweed (Helenium autumnale), and feverfew (Tanacetum parthenium). The eruption resembled atopic dermatitis morphologically but was prominent on the palms and face and dramatically spared the area of the boy's feet covered by his shoes. The condition has always been seasonal, worsening in summer, especially July, and it clears on avoidance of contact. This case is believed to represent a contact dermatitis to oleoresins of Compositae plants; inhalants as a cause of systemic aggravation are not likely to be important in this patient.
一名9岁男孩患了菊科植物皮炎，他本人及家族有很强的特应性病史。斑贴试验阳性反应为：蒲公英（药用蒲公英）、假豚草（具刺豚草）、巨豚草（三裂叶豚草）、矮豚草（北美蒿）、山艾树（三齿蒿）、野小白菊（银胶菊）、蓍草（千叶蓍）和艾菊（普通菊蒿）为2+，大丽花属植物和常春藤（洋常春藤）为1+。对另外30种植物斑贴试验为阴性，包括苍耳（苍耳）、臭甘菊（西洋甘菊）、飞蓬（一年蓬）、喷嚏草（堆心菊）和小白菊（小白菊）。皮疹在形态上类似特应性皮炎，但在手掌和面部更为明显，男孩鞋子覆盖的脚部区域则显著未受累。病情一直具有季节性，夏季尤其是7月加重，避免接触后皮疹消退。该病例被认为是对菊科植物油树脂的接触性皮炎；吸入物作为全身症状加重的原因在该患者中可能并不重要。
