Homepage Go to SAPS Search
Select item below Question and Answer Archive
 

A man ate fresh pineapple.  When he went outside in the sunlight, all exposed skin developed a red, itchy "rash". Why?

This could be Phytophotodermatitis caused by scratches from pineapple leaves and fruit.
http://www.lni.wa.gov/Safety/Research/Dermatitis/files/plant_rash.pdf

Acidic juices including pineapple juice are associated with allergic eczema.
http://www.holistickids.org/pdfs/eczema.pdf

Ananas comosus [pineapple] can cause dermatitis when juice rubbed into skin
http://www.doacs.state.fl.us/pi/enpp/botany/images/poisonplants.pdf

Pineapple is sometimes implicated in irritant contact dermatitis.
http://www.blackwell-synergy.com/links/doi/10.1111/j.1398-9995.2004.00567.x/abs/
However, this article also mentions "Phototoxic contact dermatitis" where it says "The occurrence of this type of reaction is increasing in individuals who apply perfumes and cosmetics that incorporate bergamot-containing spices." So perhaps the man should change his/her deodorant!

Bromelain (an enzyme present in pineapple) is often taken as an herbal medicine to treat swelling, pain, and tenderness caused by inflammation. It is also used to treat menstrual (period) problems, decrease blood clotting, and help in the breakdown of food (digestion).
One of its common side-effects when taken in therapeutic doses is a skin rash. Reference here.

Liz Rylott comments:-
I think the cause may be a thiolprotease.
There is some data on a natural rubber latex allergy that people have developed in response to exposure to fig fruit and ornamental house plants in the Ficus genus (Ficus elastica; common name Rubber Plant!) known as 'Ficus-fruit syndrome'.
A similar response is seen in other tropical fruits, including pineapple.
In pineapple it may be the thiolprotease bromelain (from Bromeliad, the family name) this has been linked to allergic reactions (asthma and skin rashes) in about 1% of population.
However, I could find no reference to sunlight.

John Hewitson, Jan Barfoot and Liz Rylott

© SAPS 2009 - The material on this site is copyright protected.