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He was wearing a t-shirt and his forearms had been exposed to a large quantity of fig sap, while he was working under direct sunlight. On examination, there were several blisters with no superimposed infection. He was diagnosed with phytophotodermatitis and referred to a regional burns unit. He recovered well with simple dressings and a course of antibiotics. At present, he has made a good recovery with no long-term sequelae such as skin hyperpigmentation or hypopigmentation.<\/jats:p>","DOI":"10.1136\/bcr-2020-238745","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T12:13:32Z","timestamp":1610972012000},"page":"e238745","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Severe phytophotodermatitis from fig sap: a little known phenomenon"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0164-0750","authenticated-orcid":false,"given":"Natalie","family":"Redgrave","sequence":"first","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Solomon","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"2025082712523798000_14.1.e238745.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2015-213388","article-title":"Phytophotodermatitis: a diagnosis to consider","volume":"2015","author":"Machado","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2025082712523798000_14.1.e238745.2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijid.2015.07.004","article-title":"Phytophotodermatitis","volume":"38","author":"Marcos","year":"2015","journal-title":"Int J Infect Dis"},{"key":"2025082712523798000_14.1.e238745.3","first-page":"938","article-title":"Phytophotodermatitis: rash with many faces","volume":"63","author":"Harshman","year":"2017","journal-title":"Can Fam Physician"},{"key":"2025082712523798000_14.1.e238745.4","first-page":"151","article-title":"Phytophotodermatitis due to figs","volume":"48","author":"Watemberg","year":"1991","journal-title":"Cutis"},{"key":"2025082712523798000_14.1.e238745.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2010.01713.x"},{"key":"2025082712523798000_14.1.e238745.6","unstructured":"McGovern TW . 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