Department of Community, Occupational and Family Medicine, Faculty of Medicine, National University of Singapore, 10 Kent Ridge Crescent, Singapore 119260, Republic of Singapore. cofkohd@nus.edu.sg
We report a case of extensive phytophotodermatitis in a hiker. This was caused by the application of the juice of a member of the Rutaceae family, Citrus hystrix, as a folk remedy to ward off biting insects. Besides the Rutaceae, plants belonging to the families Umbelliferae, Moraceae and Leguminosae also contain psoralens and can cause phytophotodermatitis. In temperate countries, cases are often seen among children playing outdoors during summer, when psoralens are most abundant in wild and garden plants.