Phototoxicity in an ultraviolet ink manufacturing plant.

Ultraviolet (UV) dyes are used as inks in garment printing. Hypersensitivity reactions to these compounds have been reported in the literature. The authors report a case of reaction to UV ink in a patient already on corticosteroid therapy. The patient's clinical course was reviewed along with images of wounds that subsequently developed. The affected areas were debrided and covered with Vaseline gauze and silver impregnated dressings. Epithelium was salvaged in many areas, and regrowth occurred over several weeks in regions of deeper injury. The concurrent use of steroids and the rapidity of the onset of symptoms were not characteristic of hypersensitivity dermatitis, which has previously been reported. The cause of the wounds was likely phototoxicity from radical subtypes in the ink that catalyze the reaction when exposed to UV light.