Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium

Semecarpus anacardium (Family: Anacardiaceae), is a frequently used medicinal plant in alternative medicine. There has been few case reports suggesting the role of marking nut extract in allergic contact dermatitis. Case one presented with vesicles coalescing to form bullae with surrounding necrotic...

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Main Authors: Gopalsing Rameshsing Rajput, Manas Chatterjee, Jandhyala Sridhar, Ruchi Hemdani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Marine Medical Society
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Online Access:https://journals.lww.com/10.4103/jmms.jmms_4_24
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author Gopalsing Rameshsing Rajput
Manas Chatterjee
Jandhyala Sridhar
Ruchi Hemdani
author_facet Gopalsing Rameshsing Rajput
Manas Chatterjee
Jandhyala Sridhar
Ruchi Hemdani
author_sort Gopalsing Rameshsing Rajput
collection DOAJ
description Semecarpus anacardium (Family: Anacardiaceae), is a frequently used medicinal plant in alternative medicine. There has been few case reports suggesting the role of marking nut extract in allergic contact dermatitis. Case one presented with vesicles coalescing to form bullae with surrounding necrotic epidermis accompanied by itching and burning sensation over nape of neck. He developed recurrent urticarial episodes post treatment. Case two reported similar lesions over beard region after 2 weeks of our index case in addition to diffuse erythematous maculopapular pruritic rash over upper chest, face and anterior shoulder. Case three, four and five reported with similar kind of lesions over various body parts. Case six presented with targetoid lesion with central bullae over upper torso. Case seven reported with bizarre lesions like splattering of chemical which were morphologically similar as the other cases, over left popliteal fossa and calf area. Our cases were from the same geographic area and were in the same profession. On evaluation of the pattern and morphology of lesions and careful investigation, it was concluded that it was an irritant reaction to Semicarpus nut extract which was supported by histopathology findings. On further probing, it was observed that the individuals inflicted the injury in order to avoid some strenuous work. All were evaluated and none of them were found to be suffering from any psychiatric ailment. We reported this case series because of unique morphological presentation which has not yet been reported in the literature to the best of our knowledge.
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spelling doaj-art-1d7bf8f2ae0f4783bb5df57861927c3c2025-08-20T03:12:43ZengWolters Kluwer Medknow PublicationsJournal of Marine Medical Society0975-36052589-12352025-01-012719910210.4103/jmms.jmms_4_24Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardiumGopalsing Rameshsing RajputManas ChatterjeeJandhyala SridharRuchi HemdaniSemecarpus anacardium (Family: Anacardiaceae), is a frequently used medicinal plant in alternative medicine. There has been few case reports suggesting the role of marking nut extract in allergic contact dermatitis. Case one presented with vesicles coalescing to form bullae with surrounding necrotic epidermis accompanied by itching and burning sensation over nape of neck. He developed recurrent urticarial episodes post treatment. Case two reported similar lesions over beard region after 2 weeks of our index case in addition to diffuse erythematous maculopapular pruritic rash over upper chest, face and anterior shoulder. Case three, four and five reported with similar kind of lesions over various body parts. Case six presented with targetoid lesion with central bullae over upper torso. Case seven reported with bizarre lesions like splattering of chemical which were morphologically similar as the other cases, over left popliteal fossa and calf area. Our cases were from the same geographic area and were in the same profession. On evaluation of the pattern and morphology of lesions and careful investigation, it was concluded that it was an irritant reaction to Semicarpus nut extract which was supported by histopathology findings. On further probing, it was observed that the individuals inflicted the injury in order to avoid some strenuous work. All were evaluated and none of them were found to be suffering from any psychiatric ailment. We reported this case series because of unique morphological presentation which has not yet been reported in the literature to the best of our knowledge.https://journals.lww.com/10.4103/jmms.jmms_4_24allergiccontactdermatitisirritantmarking nutself-injurysemecarpus anacardium
spellingShingle Gopalsing Rameshsing Rajput
Manas Chatterjee
Jandhyala Sridhar
Ruchi Hemdani
Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
Journal of Marine Medical Society
allergic
contact
dermatitis
irritant
marking nut
self-injury
semecarpus anacardium
title Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
title_full Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
title_fullStr Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
title_full_unstemmed Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
title_short Peculiar Pattern of Irritant Contact Dermatitis to Semecarpus anacardium
title_sort peculiar pattern of irritant contact dermatitis to semecarpus anacardium
topic allergic
contact
dermatitis
irritant
marking nut
self-injury
semecarpus anacardium
url https://journals.lww.com/10.4103/jmms.jmms_4_24
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AT manaschatterjee peculiarpatternofirritantcontactdermatitistosemecarpusanacardium
AT jandhyalasridhar peculiarpatternofirritantcontactdermatitistosemecarpusanacardium
AT ruchihemdani peculiarpatternofirritantcontactdermatitistosemecarpusanacardium