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© 2014 The Authors. doi: 10.2340/00015555-1773 Journal Compilation © 2014 Acta Dermato-Venereologica. ISSN 0001-5555 Recurrent localised inflammatory skin reactions healing with hyperpigmentation can be induced by certain drugs and are known as fixed drug eruptions. In few cases also food was described to induce these symptoms, and the term “fixed food eruptions” was coined. Fixed food eruptions are rare, the first case was reported in 1992 (1) and the term in analogy to the clinical similarities to fixed drug eruptions was coined in 1996 (2). Since then few cases with different causes were described: cheese crisps, strawberries, lentils, lactose, quinine, cashew nuts and Japanese sand lance (3). We report the second case in which asparagus caused fixed food eruptions (4). Our patient was initially diagnosed as cutaneous lupus based on clinical appearance of the skin lesions, their development in sun-exposed areas, their seasonal manifestation and histopathology. However, asparagus was identified as the causative agent by skin testing and oral provocation. Fixed food eruptions are rare but should be included in the differential diagnosis when considering the origin of recurrent and persistent erythematous skin lesions.

Asparagus-induced Fixed Food Eruptions Mimicking Cutaneous Lupus