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Cow parsnip (Heracleum maximum) is a native North American plant that can cause phototoxic skin injury after contact with furanocoumarin-rich sap and subsequent UVA exposure. Lesions typically develop within 24 to 72 hours as linear or streaked erythema, vesicles, or bullae on sun-exposed areas of the skin and may progress to persistent hyperpigmentation. Because manifestations can mimic burns or cellulitis, recognition is crucial.
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