Library of Congress Cataloging-in-Publication Data Dermatologic botany / edited by Javier Avalos and Howard I. Maibach p. ; cm. -- (CRC series in dermatology) Includes bibliographical references and index. ISBN 0-8493-7361-1 (alk. paper) 1. Contact dermatitis. 2. Poisonous plants. 3. Dermatitis. I. Avalos, Javier. II. Maibach, Howard I. III. Series. [DNLM: 1. Dermatitis--etiology. 2. Plants--adverse effects. 3. Plants, Toxic--adverse effects. WR 160 D435 1999] RL244 .D476 1999 616.5′1--dc21 99-046442 CIP This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use. 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Specific permission must be obtained in writing from CRC Press LLC for such copying. Direct all inquiries to CRC Press LLC, 2000 Corporate Blvd., N.W., Boca Raton, Florida 33431. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation, without intent to infringe. © 2000 by CRC Press LLC No claim to original U.S. Government works International Standard Book Number 0-8493-7361-1 Library of Congress Card Number 99-046442 Printed in the United States of America 1 2 3 4 5 6 7 8 9 0 Printed on acid-free paper © 2000 by CRC Press LLC Series Preface Our goal in creating the Dermatology: Clinical & Basic Science series is to present the insights of experts on emerging applied and experimental techniques and theoretical concepts that are, or will be, at the vanguard of dermatology. Books will cover new and exciting multidisciplinary areas of cutaneous research. We want these to be the books every physician will use in order to get acquainted with new methodologies in skin research. These books can be given to graduate students and postdoctoral fellows when they are looking for guidance to start a new line of research. The series will consist of books that will be edited by an expert and will consist of chapters written by the leaders in a particular field. Books will be richly illustrated and contain comprehensive bibliographies. Each chapter will provide substantial background material relevant to the particular subject. These books will contain detailed “tricks of the trade” and information as to where the methods presented can be safely applied. In addition, information on where to buy equipment and web sites that will be helpful in solving both practical and theoretical problems will be included. We are working with these goals in mind and hope that as the books become available, the effort put in by the publisher, the book editors, and individual authors will contribute to the further development of dermatology research and clinical practice. The extent to which we achieve this goal will be determined by the utility of these books. Howard I. Maibach, M.D. Series Editor © 2000 by CRC Press LLC Preface Plants and plant products are widespread in offices and homes and are part of many cosmetics, toiletries, and medications. They are an integral part of our lives that provide us with such essential items as oxygen, food, and vitamins. However, plants have evolved elaborate defensive mechanisms to combat and compete with other plants and predators including man. These defensive mechanisms range from physical barriers or processes to a diverse and abundant array of secondary chemical compounds. The combination of the secondary chemical compounds and specialized anatomical appendages (i.e. thorns and trichomes), with the widespread exposure to plants, is responsible for the many dermatologic conditions reported in clinics, hospitals, and literature reports. In order to address the many topics and issues associated with dermal reactions caused by plants, Dermatologic Botany will be delivered in a series of volumes. The series will provide practical and vital information for every health practitioner. The intent of the series is to describe the etiology of adverse reactions to plants and delineate methodologies employed in diagnosis of plant dermatitis. Dermatologists, general practitioners, physicians, nurses, and pharmacists will also find of value the analysis on mechanical injury and phytophotodermatoses. Additionally, health professionals will enjoy and appreciate the chapters describing clinical and botanical investigations. These topics include phytochemical procedures, patch testing methodologies, practical aspects of patch testing, and difficulties in investigating dermatitis from plants. The rest of the series will focus on plant families responsible for dermatologic reactions and occupational exposures. Health professionals as well as botanists, toxicologists, and chemists will enjoy the comprehensive reviews for each plant family. General descriptions will include the location, number of genera, and characteristics of each plant family. Additionally, the most current dermatologic information will be included for all known species of the genera. Furthermore, each chapter will attempt to identify the causative agents for the dermatologic condition. The collaboration of a large number of distinguished authors was needed to ensure that the series is extensive and complete. The authors were selected for their depth of knowledge and reputation in their subject areas. The contents of the series will be updated regularly in order to incorporate emerging methodologies and data identifying new causative agents or plants into the series. It is hoped that the series will be a useful reference for medical, phytochemical, and botanical audiences interested in phytodermatotoxicology. Javier Avalos Howard I. Maibach © 2000 by CRC Press LLC The Editors Javier Avalos, Ph.D., is a Research Leader in Toxicology in the Product Development Group at the Andrew Jergens Company. Prior to joining the Andrew Jergens Company, he was a regulatory toxicologist with the Division of Dermatologic and Dental Drug Products, Food and Drug Admin- istration (FDA). Dr. Avalos received his B.S. in biochemistry and Spanish from the University of California at Davis in 1987 and his Ph.D. in environmental toxicology from the University of California at Irvine in 1993. He did post-doctoral research in dermatotoxicology with Dr. Howard Maibach at the University of California at San Francisco. Dr. Avalos’ scientific career has been focused on the unwarranted effects of chemical agents on the human skin. He has been actively involved in the isolation and identification of naturally occurring dermatotoxins. As a regulatory toxicologist, he was charged with interpreting and assess- ing the safety of various classes of drug products based on toxicology, pharmacology, and phar- macokinetic data. More recently, he has been involved in evaluating the safety of ingredients to be used in the development of new consumer products. Dr. Avalos is a member of the Society of Toxicology, the American Society for Photobiology, and the American College of Toxicology. Howard I. Maibach, M.D., is Professor of Dermatology, School of Medicine, University of California, San Francisco. Dr. Maibach graduated from Tulane University, New Orleans, LA (A.B. and M.D.), and received his research and clinical training at the University of Pennsylvania, Philadelphia. He received an honorary doctorate from the University of Paris Sud in 1988. He has long had a laboratory and clinical interest in the effects of chemicals — including moisturizers — on normal and abnormal skin. Mr. Maibach is a member of the International Contact Dermatitis Research Group, the North American Contact Dermatitis Group, and the European Environmental Contact Dermatitis Group. He is the author, co-author, and/or editor of 1600 publications and 60 volumes. © 2000 by CRC Press LLC Contributors Klaus E. Andersen, M.D. Lars P. Christensen, Ph.D. Odense University Hospital Danish Institute of Agriculture and Sciences Odense, Denmark Department of Fruit, Vegetable, and Food Science Manuel Aregullin, Ph.D. Arslev, Denmark Cornell University Ithaca, New York Ai-Lean Chew, M.D. Department of Dermatology Javier Avalos, Ph.D. University of California Andrew Jergens Company San Francisco, California Cincinnati, Ohio Geoffrey Cordell, Ph.D. Department of Medicinal Chemistry and Harold Baer, Ph.D. Pharmacognosy Food and Drug Administration (retired) College of Pharmacy Bethesda, MD Chicago, Illinois John Beaman, M.D. Felix Cordoba Alva, Ph.D. Botanical Taxonomist Universidad de Mexico Michigan State University Instituto Tecnologico de Oaxaca East Lansing, MI Oaxaca, Mexico J. Del Valle Cantu, M.D. Oluwatoyin A. Binutu, Ph.D. Centro de Investigacion Biomedica del Noreste, Department of Pharmacognosy IMSS College of Medicine Monterrey, Nuevo Leon, Mexico University of Ibadan, Nigeria George Ducombs, M.D. Heimo Breiteneder, Ph.D. Bordeaux, France Department of General and Experimental Pathology Jere D. Guin, M.D. University of Vienna Professor Emeritus of Dermatology Vienna, Austria University of Arkansas for Medical Sciences Little Rock, Arkansas C. Calzado Flores, Ph.D. Centro de Investigacion Biomedica del Noreste, Matti Hannuksela, M.D., Ph.D. IMSS South Karelia Central Hospital Monterrey, Nuevo Leon, Mexico Lappeenranta, Finland Jose G. Camarasa, M.D., Ph.D. Bjoern M. Hausen, M.D. Dermatology Department Dermatology Center Hospital del Mar General Hospital Barcelona, Spain Buxtehude, Germany © 2000 by CRC Press LLC Michael Heinrich, Ph.D. Eduardo Perez Campos, M.D. Institute of Pharmaceutical Biology Oaxaca, Mexico Albert Ludwig University Freiburg, Germany Dr. Luisa Pistelli, Ph.D. Dipartimento di Chimico Bioorganica Kell Kristiansen, Ph.D. Universita di Pisa Department of Ornamentals Pisa, Italy Danish Institute of Plant and Soil Sciences Arslev, Denmark Marius Rademaker, D.M., M.R.C.P. Waikato Hospital Jean-Pierre Lepoittevin, Ph.D. Department of Dermatology Laboratoire de Dermatochimie Hamilton, New Zealand Universite Louis Pasteur Strasbourg, France Mario Robles, Ph.D. Learning and Academic Resource Center Chris Lovell, M.D. Division of Undergraduate Education Dermatology Department University of California Royal United Hospital Irvine, California Bath, England Eloy Rodriguez, Ph.D. Howard I. Maibach, M.D. L.H. Baily Hortorium Department of Dermatology Cornell University University of California Ithaca, New York San Francisco, California Otto Scheiner, Ph.D. Patricia Magana, Ph.D. Department of General and Experimental Tlalpan, Mexico Pathology University of Vienna John C. Mitchell, Ph.D. Vienna, Austria University of British Columbia Canada J. Juan Segura, M.D., Ph.D. Aila Niinimaki, M.D. Centro de Investigacion Biomedica del Noreste, IMSS Department of Dermatology Monterrey, Nuevo Leon, Mexico University Hospital Oulu, Finland Jun Wen, Ph.D. Scott Norton, M.D. Department of Biology Colorado State University Walter Reed Army Institute of Research Fort Collins, Colorado Washington, D.C. Jan West, Ph.D. Marian Ørgaard, Ph.D. Minority Science Program Botanical Section University of California Royal Veterinary and Agricultural University Irvine, CA Frederiksborg C, Denmark Hongbo Zhai, M.D. Evy Paulsen, M.D. Department of Dermatology Department of Dermatology University of California Odense University Hospital San Francisco, California Odense, Denmark © 2000 by CRC Press LLC Contents Preface Chapter 1 Introduction Javier Avalos and Howard I. Maibach Chapter 2 Botanical Heritage of Dermatology Scott A. Norton SECTION I PHYTODERMATOSES Chapter 3 Etiology of Adverse Reactions to Plants Georges Ducombs Chapter 4 Diagnosis and Patch Testing of Plant Dermatitis John C. Mitchell and Howard I. Maibach Chapter 5 Prevention of Allergic Contact Dermatitis to Plants Hongbo Zhai and Howard I. Maibach Chapter 6 Phytophotodermatoses Christopher Roland Lovell SECTION II CLINICAL AND BOTANICAL INVESTIGATIONS Chapter 7 Phytochemical Procedures Jean-Pierre Lepoittevin Chapter 8 Botanical Photoallergy Ai-Lean Chew and Howard I. Maibach © 2000 by CRC Press LLC SECTION III PLANT FAMILIES RESPONSIBLE FOR THE MAJORITY OF DERMATOLOGIC REACTIONS Chapter 9 Toxic Anacardiaceae Jere D. Guin, John H. Beaman, and Harold Baer Chapter 10 Araliaceae Bjoern M. Hausen Chapter 11 Asteraceae Mario Robles, Jan West, Eloy Rodriguez, and Michael Heinrich Chapter 12 The Pollen Allergens of the Betulaceae Heimo Breiteneder, Jun Wen, and Otto Scheiner Chapter 13 Hydrophyllaceae Manuel Aregullin and Eloy Rodriguez Chapter 14 Primulaceae Lars P. Christensen Chapter 15 Urticaceae Javier Avalos SECTION IV OTHER PLANT FAMILIES Chapter 16 Agavaceae J. Juan Segura, C. Calzado Flores, and J. Del Valle Cantu Chapter 17 Algae Jose G. Camarasa Chapter 18 Alstroemeriaceae Lars P. Christensen, Kell Kristiansen, and Marian Ø´ rgaard Chapter 19 Aristolochiaceae Luisa Pistelli © 2000 by CRC Press LLC Chapter 20 Bignoniaceae Oluwatoyin A. Binutu and Geoffrey A. Cordell Chapter 21 Bromeliaceae Félix Cordoba Alva, Eduardo Pérez-Campos, and Patricia Magaña Chapter 22 Lichens Marius Rademaker Chapter 23 Verbenaceae Evy Paulsen and Klaus E. Andersen SECTION V SPECIAL TOPICS Chapter 24 Allergic Hardwoods Bjoern M. Hausen Chapter 25 Toxicodendron of the Southern Pacific Marius Rademaker Chapter 26 Spices Matti Hannuksela and Aila Niinimaki © 2000 by CRC Press LLC 1 Introduction Javier Avalos and Howard I. Maibach CONTENTS 1.1Plants 1.2Beneficial Uses of Plants 1.2.1Herbal Remedies 1.2.2New Pharmaceuticals 1.2.3Cosmetic Products 1.3Adverse Occurrences 1.3.1Contact Urticaria 1.3.2Phytophotodermatitis 1.3.3Irritant Contact Dermatitis 1.3.4Allergic Contact Dermititis 1.4Identification of Active Components 1.5Summary 1.6References 1.1 PLANTS The plant kingdom is a critical component to man’s existence. Plants provide the basic energy source to sustain life on this planet. Many researchers have devoted their lives to understand better every aspect of the plant. Their efforts are evident in the thousands of literature reports that have been published emphasizing the nutritional, medicinal, and detrimental properties of plants. Over the years, man has adapted to its plant world and the plant in turn has been forced to evolve with man. As a result, plants have developed intricate metabolic pathways that can generate unique and biologically active natural products. The focus of this book is to describe the biological activity of plants, some of their beneficial uses, and most importantly, understand the types of adverse reactions associated with plant contact in order to prevent re-exposure. The second chapter of this book accentuates the beneficial properties of plants. The first section of the book describes the etiology of adverse reaction to plants and discusses preventive methods of plant dermatitis. Clinical and botanical investigations are depicted in the second section of the book. The major emphasis of this book, sections 3, 4, and 5, is on the adverse properties reported with several plant families. 1.2 BENEFICIAL USES OF PLANTS Many cultures around the world have relied on the beneficial properties of plants to treat many diseases. Even today, the practice of preparing a botanical concoction by herbalists and indigenous healers as well as novices worldwide for the prevention and treatment of many diseases still exists. © 2000 by CRC Press LLC