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Peruvian lily

Author: Dr Marius Rademaker, Dermatologist, Hamilton, New Zealand, 1999.


Common name: Peruvian lily, Lily of the Incas, St Martin's Flower
Botanical name: Alstroemeria
Family: Amaryllidaceae or lily family. This very large family contains about 3,700 species in 250 genera, is as a whole cosmopolitan, but certain groups are of limited distribution. Some authors regard Alstroemeriaceae as a distinct family of 4 genera and about 150 species.
Origin: South America, particularly Chile and Peru.
Description: A herbaceous perennial with fleshy, tuberous roots. They have twisted lanceolate leaves, irregularly trumpet-shaped flowers which are born on slender leafy stems.

Uses: Floral bouquets/ornamental cut flowers.
Allergens: Tuliposide A, the biosynthetic precursor of the allergenic lactone tulipalin A, has been detected in many species of Alstroemeria and Bomarea Mirb. Alpha-methylene-gamma-butyrolactone.
Allergy: Fingertip allergic contact dermatitis is caused by contact with recently damaged plants and bulbs, and gives rise to a condition known as tulip fingers. The first case reports of allergic contact dermatitis produced by Alstroemeria species appeared early in the 1970s. Gardeners, florists, and housewives are at most risk. Typically, patients are florists who present with red, thickened and split, tender finger tips of both hands Airborne contact dermatitis has also been reported. This may reflect sesquiterpene lactone sensitivity. More unusually, alstroemeria has been observed to cause depigmentation. A florist developed a sense of throat tightness, allergic rhinoconjunctivitis, urticaria, and facial angioedema attributable to exposure to alstroemeria. For most patients, the allergy leads to a change of profession.
Cross reactions: Bomarea, Dioscorea hispida, Erythronium, Gagea, Fritillaria, and at least one species of onion.
Other information: Wear nitrile gloves.
Patch test: Plants ‘as is’, Tulipalin A, Alpha-methylene-gamma-butyrolactone, sesquiterpene lactones.

 

References

  • Adams RM, Daily AD, Brancaccio RR, Dhillon IP, Gendler EC. Alstroemeria. A new and potent allergen for florists. Dermatol Clin. 1990 Jan;8(1):73-6.
  • Apted JH. Contact dermatitis due to Alstroemeria (Peruvian lily). Australas J Dermatol. 1990;31(2):111-3.
  • Bangha E, Elsner P. Occupational contact dermatitis toward sesquiterpene lactones in a florist. Am J Contact Dermat. 1996 Sep;7(3):188-90.
  • Bjorkner BE. Contact allergy and depigmentation from alstroemeria. Contact Dermatitis. 1982 May;8(3):178-84.
  • Botanical Dermatology Database. http://www.botanical-dermatology-database.info/
  • Chan RY, Oppenheimer JJ. Occupational allergy caused by Peruvian lily (Alstroemeria). Ann Allergy Asthma Immunol. 2002 Jun;88(6):638-9.
  • Christensen LP, Kristiansen K. A simple HPLC method for the isolation and quantification of the allergens tuliposide A and tulipalin A in Alstroemeria. Contact Dermatitis. 1995 Apr;32(4):199-203.
  • Christensen LP, Kristiansen K. Isolation and quantification of a new tuliposide (tuliposide D) by HPLC in Alstroemeria. Contact Dermatitis. 1995 Sep;33(3):188-92.
  • Christensen LP. Direct release of the allergen tulipalin A from Alstroemeria cut flowers: a possible source of airborne contact dermatitis? Contact Dermatitis. 1999 Dec;41(6):320-4.
  • de Jong NW, Vermeulen AM, Gerth van Wijk R, de Groot H. Occupational allergy caused by flowers. Allergy. 1998 Feb;53(2):204-9.
  • Guin JD, Franks H. Fingertip dermatitis in a retail florist. Cutis. 2001 Apr;67(4):328-30.
  • Harada K, Ohmori S, Wei CN, Arimatsu Y, Ueda A. Experimental study of contact dermatitis due to alstroemeria in guinea pigs. Contact Dermatitis. 1998 Aug;39(2):82.
  • Hausen BM, Oestmann G. [The incidence of occupationally-induced allergic skin diseases in a large flower market]. Derm Beruf Umwelt. 1988 Jul-Aug;36(4):117-24. [Article in German]
  • Hausen BM, Prater E, Schubert H. The sensitizing capacity of Alstroemeria cultivars in man and guinea pig. Remarks on the occurrence, quantity and irritant and sensitizing potency of their constituents tuliposide A and tulipalin A (alpha-methylene-gamma-butyrolactone). Contact Dermatitis. 1983 Jan;9(1):46-54.
  • Hoffmann H, Schulsinger C, Hamann K. [Alstroemeria eczema. A new occupational eczema in Denmark]. Ugeskr Laeger. 1981 Mar 16;143(12):754. [Article in Danish]
  • Lamminpaa A, Estlander T, Jolanki R, Kanerva L. Occupational allergic contact dermatitis caused by decorative plants. Contact Dermatitis. 1996 May;34(5):330-5.
  • Lovell CR.1993, Plants and the Skin, Blackwell, Oxford.
  • Marks JG Jr. Allergic contact dermatitis to Alstroemeria. Arch Dermatol. 1988 Jun;124(6):914-6.
  • Mascarenhas R, Robalo-Cordeiro M, Fernandes B, Oliveira HS, Goncalo M, Figueiredo A. Allergic and irritant occupational contact dermatitis from Alstroemeria. Contact Dermatitis. 2001 Mar;44(3):196-7.
  • McGovern TW, Barkley TM. Botanical briefs: Peruvian lily--Alstroemeria (L.) spp. Cutis. 1999 Mar;63(3):137-8.
  • McGovern TW. Alstroemeria L. (Peruvian lily). Am J Contact Dermat. 1999 Sep;10(3):172-6.
  • Mikkelsen S, Mikkelsen F. [Occupational eczema due to contact with Alstromeria (Inca lily)]. Ugeskr Laeger. 1989 Apr 3;151(14):898. [Article in Danish]
  • Mitchell JC, Rook A, 1979, Botanical Dermatology, Plants and Plant products injurious to the skin, Greengrass, Vancouver.
  • Rook A. Dermatitis from Alstroemeria: altered clinical pattern and probable increasing incidence. Contact Dermatitis. 1981 Nov;7(6):355-6.
  • Rycroft RJ, Calnan CD. Alstroemeria dermatitis. Contact Dermatitis. 1981 Sep;7(5):284.
  • Santucci B, Picardo M, Iavarone C, Trogolo C. Contact dermatitis to Alstroemeria. Contact Dermatitis. 1985 Apr;12(4):215-9.
  • Thiboutot DM, Hamory BH, Marks JG Jr. Dermatoses among floral shop workers. J Am Acad Dermatol. 1990 Jan;22(1):54-8.
  • van der Mei IA, de Boer EM, Bruynzeel DP. Contact dermatitis in Alstroemeria workers. Occup Med (Lond). 1998 Sep;48(6):397-404.
  • van Ketel WG, Mijnssen GA, Neering H. Contact eczema from alstroemeria. Contact Dermatitis. 1975 Oct;1(5):323-4.
  • van Ketel WG. [Contact allergy for Alstroemeria (inca lily)]. Ned Tijdschr Geneeskd. 1990 Nov 24;134(47):2310-1. [Article in Dutch]

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