UCSF Fresno, Medical Educakon Program J Heppner MD, H Lee MD

(—THIS SIDEBAR DOES NOT PRINT—) QUICK START (cont.) DESIGN GUIDE Phytophotodermas Resulng From Citrus Exposure: A Pediatric Case Series from Central California How to change the template color theme This PowerPoint 2007 template produces a 36”x48” You can easily change the color theme of your poster by going to the presentation poster. You can use it to create your research DESIGN menu, click on COLORS, and choose the color theme of your poster and save valuable time placing titles, subtitles, text, J Heppner MD, H Lee MD, P Armenian MD choice. You can also create your own color theme. and graphics.

UCSF Fresno, Medical Educaon Program We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK. You can also manually change the color of your background by going to Introducon Case Series Descripon Case Series Descripon Discussion VIEW > SLIDE MASTER. After you finish working on the master be sure to When you are ready to print your poster, go online to Lisbon Lemon (Citrus limon) Key Lime (Citrus aurantifolia) go to VIEW > NORMAL to continue working on your poster. PosterPresentations.com Psoralens belong to the furocoumarin family, and cause This is a consecutive-patient case series of five girls Few phytophotodermatitis outbreaks demonstrate

phytophotodermatitis when coupled with ultraviolet aged 7-11 transferred from an outside facility for such severity in multiple pediatric patients, How to add Text Need assistance? Call us at 1.510.649.3001 light exposure. Specific compounds include 5- specialty burn center evaluation. Symptoms The template comes with a number of pre- requiring transfer to a burn center for management. formatted placeholders for headers and text methoxypsoralen, xanthotoxin and limettin, which lead developed 24 hours after playing with limes an lemons Optimal management of severe psoralen toxicity is blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box QUICK START to this phototoxic eruption. Their structure is a linear, near a backyard swimming pool. not well established. In these cases, supportive care tricyclic molecule, and thought to be involved in the from the HOME menu. and topical steroids were used with good result. plant’s ability to fight fungal infections and in Zoom in and out The girls had skin findings of large flaccid bullae on an Oral steroids and silver impregnated dressings may Text size regulation of plant growth. There have been multiple Adjust the size of your text based on how much content you have to As you work on your poster zoom in and out to the level erythmatous base over sun-exposed areas, not also be considered. that is more comfortable to you. case reports on this phenomenon. A classic description present. The default template text offers a good starting point. Follow following any dermatomal distriubtion. Initially, the conference requirements. Go to VIEW > ZOOM. in the United States involves a beach vacation or parents were questioned regarding possible pool Title, Authors, and Affiliations children playing around a swimming pool along with Psoralen phytophotodermatitis diagnosis requires a How to add Tables chemical exposure and abuse. Two girls required To add a table from scratch go to the INSERT menu and Start designing your poster by adding the title, the names of the authors, beverage preparation involving lime juice. Hospital Day 4 high index of suspicion and may be initially admission to the intensive care burn unit. One was click on TABLE. A drop-down box will help you select rows and the affiliated institutions. You can type or paste text into the misdiagnosed as herpes zoster, lymphangitis, and columns. provided boxes. The template will automatically adjust the size of your admitted to the floor and two were discharged from the You can also copy and a paste a table from Word or another PowerPoint text to fit the title box. You can manually override this feature and chemical burns, poison oak or even jellyfish emergency department. Initial treatment for patients document. A pasted table may need to be re-formatted by RIGHT-CLICK > change the size of your text. An Internaonal Phenomenon envenomation. Although potential abuse or pool FORMAT SHAPE, TEXT BOX, Margins. 1-3 included pain ontrol with intravenous opioids, use

TIP: The font size of your title should be bigger than your name(s) and Psoralens are found in many types of wild and of bacitracin ointment and non-adherent Xeroform® chemical burns was considered in these cases, it institution name(s). Graphs / Charts agricultural plants in a wide geographical distribution. and Adaptic® dressings. Clobetasol ointment was became clear that the lesions were actually due to You can simply copy and paste charts and graphs from Excel or Word.

The major plant families which contain furocoumarins started on hospital day 2 on patients 1-3 and applied citrus exposure. Some reformatting may be required depending on how the original

during dressing changes. Procedural sedation was document has been created. include Umbelliferae, Rutaceae, Leguminosae and

Moraceae. While the most common culprit in the required for dressing changes and debridement for How to change the column configuration Adding Logos / Seals United States seems to be the lime, the phenomenon patients 1,2 and 3. Patients 4 and 5 were discharged Hospital Day 2 Therapeuc Applicaons of Psoralen RIGHT-CLICK on the poster background and select LAYOUT to see the Most often, logos are added on each side of the title. You can insert a column options available for this template. The poster columns can also has been described after topical and oral exposure to home with bacitracin ointment and Xeroform® logo by dragging and dropping it from your desktop, copy and paste or by Surprisingly, the effects that these girls had from be customized on the Master. VIEW > MASTER. going to INSERT > PICTURES. Logos taken from web sites are likely to be psoralens in other plants. dressings. Following discharge, return visits were low quality when printed. Zoom it at 100% to see what the logo will look required for dressing changes in all 5 patients. Over psoralen toxicity forms the basis of one of the most like on the final poster and make any necessary adjustments. How to remove the info bars the next 3 weeks, erythematous areas gradually became commonly used treatments in the field of dermatology, If you are working in PowerPoint for Windows and have finished your In Britain, giant hogweed is a known cause of TIP: See if your school’s logo is available on our free poster templates hyperpigmented. Plant specimens were identified by ‘PUVA’ or psoralen with ultraviolet long wavelength poster, save as PDF and the bars will not be included. You can also delete page. phytophotodermatitis. This plant, which grows up to radiation. This effect was used as far back as 1400 BC them by going to VIEW > MASTER. On the Mac adjust the Page-Setup to local botonists as Key Lime (Citrus aurantifolia) and match the Page-Setup in PowerPoint before you create a PDF. You can 10 feet tall and is found on riverbanks and untended in India and Egypt, for the treatment of vitiligo. Photographs / Graphics Lisbon Lemon (Citrus limon). also delete them from the Slide Master. land, can cause linear eruptions with blistering and You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images bullae when brushed with bare skin while walking, Save your work proportionally by holding down the SHIFT key and dragging one of the along with subsequent sun exposure. It has been Modern medicine has incorporated PUVA to treat not Save your template as a PowerPoint document. For printing, save as corner handles. For a professional-looking poster, do not distort your only vitiligo, but also psoriasis, mycosis fungoids and PowerPoint of “Print-quality” PDF. images by enlarging them disproportionally. recognized as a public health hazard in the UK. Also Paent Idenﬁcaon Age (years) Total Body Surface Distribuon of Skin Clinical Seng Hospital Length of atopic dermatitis. in Europe, a Swedish group of elevan who was Print your poster Area Involved (%) Findings Stay (days) gathering wild parsnips at a local farm presented to an When you are ready to have your poster printed go online to PosterPresentations.com and click on the “Order Your Poster” button. emergency department with a severe bullous rash of References Choose the poster type the best suits your needs and submit your order. If 1 7 10 Face, Bilateral Upper Burn Unit 4 you submit a PowerPoint document you will be receiving a PDF proof for their hands. The parsnip plants was implicated in that Extremies Greenaway C. A tropical skin eruption. Can J Infect Dis. 2002;13:82-3. ORIGINAL DISTORTED your approval prior to printing. If your order is placed and paid for before Corner handles case as well as a similar case in Alaska, United States, Weber IC, Davis CP and Greeson DM. Phytophotodermatitis: The Other “Lime” Disease. J Emerg Med. 1999:17;235-7. noon, Pacific, Monday through Friday, your order will ship out that same 2 8 18 Face, Bilateral Upper Burn Unit 3 Moore AM and Chen SC. Linear lesions on the face. Am Fam Physician. 2003;68(11):2239-40. where a boy became exposed after attempting to clear Mill J, Wallis B, Cuttle L et al. Phytophotodermatitis: case reports of children presenting with blistering after preparing lime juice. Burns. 2008;34(5):731-3. day. Next day, Second day, Third day, and Free Ground services are and Lower Extremies Hipkin CR. Phytophotodermatitis, a botanical view. Lancet. 1991;338(8771):892-3. Image Quality Check Drever JC, Hunter J. Giant hogweed dermatitis. Scott Med J. 1970;15:315-319. offered. Go to PosterPresentations.com for more information. wild parsnip weeds from around his home. Intentional Lutchman L, Inyang V and Hodgkinson D. Phytophotodermatitis associated with parsnip picking. J Accid Emerg Med. 1999;16:453-4. Zoom in and look at your images at 100% magnification. If they look good McCue AK. A mystery. Cow parsnip phytophotodermatitis. Wilderness Environ Med. 2007;18(2):156-9. application of fig leaf tea can cause psoralen toxicity, 3 9 8 Face, Hands, Bilateral Pediatric Floor 3 Micall G, Nasca MR, and Musumeci ML. Severe phototoxic reaction secondary to the application of a fig leaves’ decoction used as a tanning agent. Contact they will print well. Dermatitis. 1995;33:212. Lower Extremies Bollero D, Stella M et al. Fig leaf tanning lotion and sun-related burns: case reports. Burns. 2001;27:777-9. and is used to enhance suntanning in both Italy and Sforza M, Andjelkov K and Zacchedu R. Severe burn on 81% of body surface after sun tanning. Ulus Travma Acil Cerrahi Derg. 2013;19(4):383-4. Egan CL and Sterling G. Phytophotodermatitis: A Visit to Margaritaville. Cutis. 1993;51(1):41-2. Brazil. Another variation, Berloque dermatitis, 4 9 5 Lips, Le Thigh Emergency <1 Ljunggren B. Severe Phototoxic Burn Following Celery Ingestion. Arch Dermatol. 1990;126:1334-6. Glatz M and Hofbauer GF. Phototoxic and Photoallergic Cutaneous Drug Reactions. Chem Immunol Allergy. 2012;97:167-79. involves application of perfume containing the rind of Department Gould JW, Mercurio MG and Elmets CA. Cutaneous photosensitivity dieases induced by exogenous agents. J Am Acad Dermatol. 1995;33(4):551-73. Bethea D, Fullmer B, Syed S et al. Psoralon photobiology and photochemistry: 50 years of science and medicine. J Dermatol Sci. 1999;19(2):78-88. Gross T, Ratner L et al. An Outbreak of Phototoxic Dermatitis Due to Limes. Am J Epidemiology. 1987;125(3):509-14. Goskowicz MO, Friedlander SF and Eichenfield LF. Endemic “Lime” Disease: Phytophotodermatitis in San Diego County. Pediatrics. 1994;93:828-830. prinng quality Bergamot orange. While topical exposure appears to

prinng quality 5 11 10 Bilateral Anterior Emergency <1 Carlsen K and Weismann K. Phytohpotodermatitis in 19 children admitted to the hospital and their differential diagnoses: Child abuse and herpes simplex virus infection. J Am Acad Dermatol. 2007;57(5 Suppl):S88-91. Bad

Good be the most reported route of exposure, large ingestion Thighs, Bilateral Department Abali AE, Aka M et al. Burns or Phytophotodermatitis, Abuse or Neglect: Confusing Aspects of Skin Lesions Caused by the Superstitious Use of Fig Leaves. Student discounts are available on our Facebook page. Antrerior Forearms, J Burn Care Res. 2012;33(6):e309-312. of celery root followed by a visit to a suntan parlor Coffman K, Boyce WT and Hansen RC. Phytophotodermatitis Simulating Child Abuse. Am J Dis Child. 1985: 139(3):239-40. Go to PosterPresentations.com and click on the FB icon. Lower Abdomen Burnett JW, Horn TD et al. Phytophotodermatitis mimicking jellyfish envenomation. Acta Derm Venereol. 1988;68(2):168-71. resulted in generalized erythema and blistering in a Ahmed I and Charles-Holmes R. Phytophotodermatitis mimicking superficial lymphangitis. Br J Dermatol. 2000;142(5):1069.