Article: Dermatologic disorders can mimic child abuse.(Clinical Rounds)(Phytophotodermatitis, lichen sclerosus )

STOWE, VT. -- Phytophotodermatitis and lichen sclerosus are two skin disorders that can be mistaken for child abuse, Dr. Ronald C. Hansen said at a dermatology conference sponsored by the University of Vermont.

Phytophotodermatitis, also known as "inadvertent PUVA" or "lime disease," is a harmless photoeruption induced by sun exposure following skin contact with psoralens in limes and certain other plants. There are several reports in the literature of the disorder's mimicking of child abuse, either by appearing as bruises from imprinted finger marks (Am. J. Dis. Child 1985;139:239-40) or as a burn injury (J. R. Soc. Med. 1997;90:560-1).

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