Table 2: Types of plant rashes, example species, and treatments.
Rash type | Description | Example species | Treatments |
Irritant contact dermatitis | Nonimmune-mediated rash resulting from myriad of mechanical (e.g. spines, thorns, etc.) and chemical irritants. | Spp producing spines, thorns, needles, etc; Diverse spp producing chemical irritants [3] | Avoidance; Gloves and other protective materials; Removal and irrigation; Ice and analgesic medication [10]. |
Allergic contact dermatitis | Delayed onset (48-72 h) pruritic erythematous rash in distribution of exposure. | Toxicodendron spp; Diverse species [3]. | Avoidance; Wash affected area with soap and water; High potency topical corticosteroids; Systemic corticosteroids with taper over 2-3 weeks [7]. |
Urticarial rash | Pruritic hives (wheals surrounded by blanching erythema) directly after contact with offending foliage in the distribution of exposure. | Urticadioica (stinging nettles); Other urtica spp [3]. | Avoidance; Topical antihistamines, calamine lotion, topical corticosteroids [14]. |
Phytophotodermatitis "lime disease" | Irregular, erythematous or violaceous patches often with blistering arising approximately 24 hours following plant and UV light exposure. | Apiacea (carrot) family, Rutaceae (citrus) family, Moraceae (fig) family, Fabaceae (legume) family [3]. | Wash off plant matter prior to UV exposure; Topical corticosteroids can speed recovery; Antihistamines may help with itching/discomfort [6]. |
Toxidromal rash | Rash accompanied by systemic symptoms (saponin and euphorbiaceae toxidromes). Euphorbia spp may also cause local contact dermatitis. | Soapwort, maple spp, ginseng, euphorbia spp [3]. | Contact poison control center if suspected exposure; Inpatient supportive care for sick individuals. Eye exposures should be copiously irrigated and emergently evaluated [3]. |