Phytophotodermatitis from mokihana fruits (Pelea anisata H. Mann, fam. Rutaceae) in Hawaiian lei

Bullous dermatitis, which resolved leaving hyperpigmentation and which was clinically consistent with phytophotodermatitis, affected the skin of the neck of 2 individuals who wore Hawaiian leis (as neck garlands) made of the fruits of pelea anisata. In a Daniels culture plate system portions of the fruits showed phototoxicity