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A rare cause of emergency department visit Euphorbia helioscopia contact dermatitis.pdf

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A rare cause of emergency department visit Euphorbia helioscopia contact dermatitis.pdf

Turkish Journal of Emergency Medicine 16 (2016) 121e122 Contents lists available at ScienceDirect Turkish Journal of Emergency Medicine journal homepage: /locate/TJEM Case report A rare cause of emergency department visit: Euphorbia helioscopia contact dermatitis Ibrahim Hakan Bucak a, *, Habip Almis a, Birgul Tepe b, Mehmet Turgut a a Department of Pediatrics, Ad?yaman University, Ad?yaman, Turkey b Department of Dermatology, Ad?yaman University, Ad?yaman, Turkey article info Article history: Received 15 August 2015 Received in revised form 15 October 2015 Accepted 6 November 2015 Available online 13 October 2016 Keywords: Contact dermatitis Emergency departments Euphorbia Clinic visit Water abstract Emergency department visits due to dermatologic disease is quite rare. Euphorbia helioscopia is a widely distributed plant in rural areas. E. helioscopia related contact dermatitis (Irritant contact dermatitis or allergic contact dermatitis) are known however only a few case reported in literature. We are reporting on three patients with contact dermatitis from E. helioscopia. Irritant contact dermatitis was occurred only one of these cases. This case refused to wash face with water. We recommend washing the face with water after contact with E. helioscopia. Copyright ? 2016 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license (http:// /licenses/by-nc-nd/4.0/). 1. Introduction Emergency department (ED) visits due to dermatologic disease is quite rare and prevalence is about 3%.1 Skin and subcutaneous infection are the most common diagnosis of dermatologic diseases in ED.2 Contact dermatitis caused by plants and plant products is a frequently encountered condition in daily life. This contact leads to a reaction on the skin called irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD).3 Only a few case reports have been reported with cont