Abstract
Background: Agapanthus (Lily of the Nile) is a genus in the flowering plant family Amaryllidaceae. Contact dermatitis caused by flowering plants is common, but there are no reports of contact dermatitis caused by this plant, Agapanthus.
Case Illustration: An 82-year-old Japanese man had cultivated Agapanthus in his home garden. After breaking the stem of the leaf while wearing shorts, he noticed erythematous rashes on the thighs. The patch test of the leaf stem sap “as is” showed mildly positive, with erythematous papules.
Discussion: The patch test confirmed the allergic contact dermatitis of Agapanthus with leaf stem sap. There are many well-known flowering plants, like lilies, daisies, jasmine, orchids so on, that can cause contact dermatitis. To date, many people fold Agapanthus flowers and decorate them at home, so far, this plant should also be added to the causative plant for contact dermatitis.
Conclusion: To the best of our knowledge, there are no reports of contact dermatitis caused by this plant. Agapanthus contact dermatitis will need to be brought to people’s attention.
References
- Younis NAM, Gomaa AA, Ibrahim AH, Abdelkader MS, Desoukey SY. The genus Agapanthus: A review of traditional uses, pharmacological and phytochemical attributes. S Afr J Bot. 2022;150:1168-83.
- Tavares B, Loureiro G, Pereira C, Chieira C. Home gardening may be a risk factor for contact dermatitis to Alstroemeria. Allergol Immunopathol (Madr). 2006;34(2):73-5.
- Esser PR, Mueller S, Martin SF. Plant allergen-induced contact dermatitis. Planta Med. 2019;85(7):528-34.
- Rozas-Muñoz E, Lepoittevin JP, Pujol RM, Giménez-Arnau A. Allergic contact dermatitis to plants: Understanding the chemistry will help our diagnostic approach. Actas Dermosifiliogr. 2012;103(6):456-77.
- Sheehan MP. Plant associated irritant & allergic contact dermatitis (Phytodermatitis). Dermatol Clin. 2020;38(3):389-98.
- Nosbaum A, Vocanson M, Rozieres A, Hennino A, Nicolas JF. Allergic and irritant contact dermatitis. Eur J Dermatol. 2009;19(4):325-32.
- Apted JH. Contact dermatitis due to Alstroemeria (Peruvian lily). Australas J Dermatol. 1990;31(2):111-3.
- Paulsen E, Andersen KE. Contact sensitization to florists' chrysanthemums and marguerite daisies in Denmark: A 21-year experience. Contact Dermatitis. 2020;82(1):18-23.
- González-de-Olano D, Córdoba-Guijarro S, Marín-Manzano E, Bartolomé B. Allergy to jasmine is not always delayed contact allergy. Dermatitis. 2012;23(2):94-5.
- Iwata M, Kanekura T, Gushi A, Kanzaki T. Contact dermatitis due to orchids (Cymbidium and Oncidium). J Dermatol. 2006;33(2):115-7.
Recommended Citation
Horiuchi, Yasuhiro
(2024)
"Agapanthus allergic contact dermatitis: A case report,"
Journal of General - Procedural Dermatology & Venereology Indonesia: Vol. 8:
Iss.
1, Article 6.
DOI: 10.7454/jdvi.v8i1.1127
Available at:
https://scholarhub.ui.ac.id/jdvi/vol8/iss1/6
Included in
Dermatology Commons, Integumentary System Commons, Medical Immunology Commons, Skin and Connective Tissue Diseases Commons