case_images: PMC11745270_01
case_images: On examination, erythematous, brownish plaques with lichenification, desquamation, erosions and fissures are observed on the hands.
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case_images: PMC11745270_01_gr1.jpg
case_images: fig0005
case_images: On examination, there were erythematous, desquamative, and lichenified plaques, with erosions and fissures on the palms (Fig. 1).
case_images: (A) Preparation of leaves with bidistilled water for the prick-by-prick test on the left and contact test on the right. (B) Application of leaves for the contact test identified by letters: (A) Coriander; (B) Chives; (C) Parsley; (D) Watercress; (E) Iceberg lettuce stem; (F) Iceberg lettuce leaf; (G) Leaf and stem of green-leaf lettuce.
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case_images: PMC11745270_01_gr2.jpg
case_images: fig0010
case_images: Due to reports of worsening with the handling of leaves, the CT was also applied using fresh vegetables (cilantro, chives, parsley, watercress, leaves and stems of iceberg and green-leaf lettuce) prepared with a drop of bidistilled water and applied to the skin under occlusion for 48 hours (Fig. 2), as recommended by the International Contact Dermatitis Research Group.
case_images: Positive result for green leaf lettuce leaf and stem in the first reading after 48 hours.
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case_images: PMC11745270_01_gr3.jpg
case_images: fig0015
case_images: The results were positive for both types of lettuce tested at 48 and 96 hours (Fig. 3).
case_images: Clinical improvement four months after suspending contact with the allergen, using only moisturizing emollients.
case_images: gr4.jpg
case_images: PMC11745270_01_gr4.jpg
case_images: fig0020
case_images: He returned to work, but without direct exposure to vegetables and had no recurrence of the condition (Fig. 4).