Frase Drew M, Bannon Susan
Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.
Cureus. 2025 Jun 17;17(6):e86240. doi: 10.7759/cureus.86240. eCollection 2025 Jun.
Phytodermatitis is often caused by contact with certain plants and may be recognized by the common saying, However, lesser-known plants, such as Virginia creeper (), can also cause significant contact dermatitis (CD). A 54-year-old female physician with a history of poison ivy allergy presented with a pruritic, erythematous, blistering rash with linear streaks on her face, neck, and arms following exposure to Virginia creeper plants in her backyard. Symptoms began 48 hours post-exposure, exhibiting linear streaks and scattered plaques suggestive of allergic contact dermatitis (ACD). The patient self-treated with topical betamethasone, diphenhydramine, ibuprofen, and petroleum jelly. Symptoms significantly improved within one week, with complete resolution by one month. Removal of Virginia creeper plants from her backyard prevented further recurrence. Clinicians and the public should be aware that Virginia creeper, despite its five-leaf configuration, can cause phytodermatitis that is very similar to poison ivy. Recognition and identification of plant-induced dermatitis are significant for effective management and prevention.
植物性皮炎通常由接触某些植物引起，俗语说“……”，人们可能由此认识到这一点。然而，一些不太知名的植物，如五叶地锦（），也会引发严重的接触性皮炎（CD）。一名有漆树过敏史的54岁女医生，在接触自家后院的五叶地锦植物后，面部、颈部和手臂出现瘙痒、红斑、水疱性皮疹及线状条纹。症状在接触后48小时开始出现，呈现线状条纹和散在斑块，提示为过敏性接触性皮炎（ACD）。患者自行外用倍他米松、苯海拉明、布洛芬和凡士林治疗。症状在一周内明显改善，一个月内完全消退。将后院的五叶地锦植物清除后，未再复发。临床医生和公众应意识到，尽管五叶地锦是五片叶子，但它可引起与漆树非常相似的植物性皮炎。认识和识别植物引起的皮炎对于有效管理和预防至关重要。
