Giant Hogweed Burns: Symptoms, Treatment & First Aid

Medically reviewed | Last reviewed: | Evidence level: 1A
Giant hogweed (Heracleum mantegazzianum) and common hogweed contain chemicals called furanocoumarins that cause severe, burn-like skin reactions when exposed to sunlight. Unlike thermal burns, these phototoxic burns may not appear immediately but develop within 24-48 hours after sun exposure. The resulting blisters, redness, and pain can persist for weeks, with skin discoloration potentially lasting months or years.
📅 Updated:
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Written and reviewed by iMedic Medical Editorial Team | Specialists in dermatology and toxicology

📊 Quick facts about giant hogweed burns

Symptom onset
24-48 hours
after sun exposure
Blister duration
1-3 weeks
acute symptoms
Discoloration
Months-Years
hyperpigmentation
Sun protection
48+ hours
minimum coverage
Plant height
3-5 meters
10-15 feet tall
ICD-10 code
L56.2
Phytophotodermatitis

💡 The most important things you need to know

  • No immediate symptoms: You won't feel anything when touching the plant - the reaction only occurs when UV light activates the chemicals in the sap
  • Wash immediately: If you suspect contact with giant hogweed, wash the area thoroughly with soap and water as soon as possible
  • Stay out of sun: Keep the affected area covered and away from sunlight for at least 48 hours, even if you don't see a reaction yet
  • Don't pop blisters: Leave blisters intact - they protect the underlying skin and reduce infection risk
  • Seek care for large burns: Contact a healthcare provider if the burn covers a large area, affects the face or eyes, or shows signs of infection
  • Long-lasting effects: Skin discoloration can persist for months or years, and the area remains sun-sensitive

What Is Giant Hogweed and Why Is It Dangerous?

Giant hogweed (Heracleum mantegazzianum) is an invasive plant that produces sap containing phototoxic chemicals called furanocoumarins. When this sap contacts skin and is then exposed to UV light from the sun, it causes severe chemical burns, blisters, and long-lasting skin damage. The reaction is called phytophotodermatitis.

Giant hogweed is a towering plant native to the Caucasus region but has spread as an invasive species across Europe, North America, and parts of Asia. It can grow to impressive heights of 3-5 meters (10-15 feet), making it one of the tallest herbaceous plants in the regions where it grows. Despite its striking appearance with large white flower clusters, this plant poses a significant health hazard that everyone should be aware of.

The danger lies in the plant's sap, which is present in all parts of the plant including the stems, leaves, flowers, and roots. This sap contains chemicals called furanocoumarins (also known as psoralens), which are naturally occurring compounds that become activated when exposed to ultraviolet (UV) light. When the sap gets on your skin and that skin is then exposed to sunlight, a photochemical reaction occurs that damages the DNA in skin cells, leading to cell death and severe inflammatory responses.

What makes giant hogweed particularly insidious is that you may not realize you've been exposed until it's too late. The sap is colorless and doesn't cause any immediate burning, stinging, or other sensation when it contacts the skin. This means people can unknowingly spread the sap across their skin, hands, face, or eyes while handling the plant, only to develop severe burns hours or days later when they're exposed to sunlight.

Related Plants That Cause Similar Burns

Giant hogweed is not the only plant that can cause phytophotodermatitis. Several related plants in the Apiaceae family contain similar phototoxic compounds, though typically in lower concentrations. Common hogweed (Heracleum sphondylium), while less potent than giant hogweed, can still cause burns. Wild parsnip (Pastinaca sativa) is another common culprit, particularly in North America, and causes similar but usually less severe reactions. Cow parsley, angelica, and even common garden plants like rue, celery, and citrus fruits (particularly limes) can cause phytophotodermatitis under certain conditions.

Understanding the mechanism of these burns helps explain why they behave differently from thermal or chemical burns. The furanocoumarins in the plant sap intercalate (insert themselves) between the bases of DNA strands. When UV light hits these compounds, they form covalent bonds with the DNA, creating cross-links that prevent normal cell function and replication. This damage triggers an intense inflammatory response as the body attempts to remove the damaged cells, resulting in the characteristic redness, blistering, and pain.

Scientific classification and names:

Giant hogweed's scientific name is Heracleum mantegazzianum. It's also known by various common names including cartwheel flower, giant cow parsnip, and hogsbane. The plant belongs to the carrot family (Apiaceae) and is closely related to many common herbs and vegetables, though it should never be consumed due to its toxic properties.

What Are the Symptoms of Giant Hogweed Burns?

Giant hogweed burns cause severe redness, painful blisters that resemble second-degree burns, swelling, and intense burning or stinging sensations. Symptoms appear 24-48 hours after sun exposure following contact with the plant sap. Long-term effects include dark skin discoloration (hyperpigmentation) that can last months or years.

The symptoms of giant hogweed burns develop in a characteristic pattern that distinguishes them from other types of skin injuries. Because the reaction depends on UV light activation, there is typically a delay between exposure and the onset of symptoms. This delay is important to understand, as many people don't connect their symptoms to plant exposure that happened a day or two earlier.

In the first few hours after skin contact with the sap, you typically won't notice anything unusual. The skin may look and feel completely normal during this period, which is why washing the area immediately after suspected exposure is so critical - you have a window of opportunity to remove the sap before UV exposure triggers the reaction.

Once the affected skin is exposed to sunlight (or other UV sources), the photochemical reaction begins. Within 24-48 hours, symptoms start to appear and can include:

  • Intense redness (erythema): The affected area becomes deeply red and inflamed, often with clearly defined borders that match the pattern of sap contact
  • Painful blistering: Fluid-filled blisters form that can become quite large, resembling second-degree thermal burns
  • Swelling: The surrounding tissue may become significantly swollen
  • Burning or stinging sensation: The affected area feels hot and painful, with sensations similar to severe sunburn
  • Itching: As the area heals, intense itching often develops
Progression of symptoms after giant hogweed exposure
Time Period What Happens What You'll See/Feel Action
0-24 hours Sap on skin, awaiting UV activation Usually nothing visible Wash immediately, stay out of sun
24-48 hours Photochemical reaction begins Redness, burning, blisters forming Cool compresses, seek care if severe
1-3 weeks Acute inflammatory phase Peak blistering, pain, then gradual healing Wound care, protect from sun
Months-Years Post-inflammatory changes Hyperpigmentation, photosensitivity Long-term sun protection

Long-Term Effects and Complications

Perhaps the most distressing aspect of giant hogweed burns is their long-lasting effects. Even after the acute blistering and pain have resolved, the affected skin often develops post-inflammatory hyperpigmentation - a darkening of the skin that can persist for months or even years. This discoloration occurs because the photochemical damage stimulates melanocytes (pigment-producing cells) to produce excess melanin.

The affected skin also remains photosensitive long after the initial injury has healed. This means that sun exposure to the previously affected area can cause recurring reactions or worsen the hyperpigmentation. People who have experienced giant hogweed burns need to be diligent about sun protection for the affected areas for an extended period, sometimes years.

In severe cases, particularly when large areas of skin are affected or when the burns are very deep, permanent scarring can occur. The severity of scarring depends on factors including the amount of sap exposure, the intensity and duration of UV exposure, the location on the body, and how the wound was cared for during healing.

🚨 Eye exposure is a medical emergency

If giant hogweed sap contacts the eyes, it can cause severe damage including temporary or permanent vision loss. Symptoms include intense pain, light sensitivity, swelling, and corneal damage. If you suspect eye exposure:

  • Immediately flush the eyes with clean water for at least 15 minutes
  • Keep the eyes closed and protected from light
  • Seek emergency medical care immediately

Find your local emergency number

How Should Giant Hogweed Burns Be Treated?

Treat giant hogweed burns by immediately washing with soap and water, staying out of sunlight for at least 48 hours, applying cool compresses, and using topical corticosteroids to reduce inflammation. Do not pop blisters. Seek medical attention for burns covering large areas, affecting the face or eyes, or showing signs of infection.

The treatment approach for giant hogweed burns depends on the timing of intervention and the severity of the reaction. The most effective treatment is prevention through immediate washing and sun avoidance, but once symptoms have developed, the focus shifts to supportive care, symptom management, and preventing complications.

Immediate First Aid (Within Minutes of Exposure)

If you suspect you've come into contact with giant hogweed, immediate action can significantly reduce the severity of any subsequent reaction. Time is critical here because the phototoxic reaction requires UV light to occur - if you can remove the sap and protect the skin from sunlight before this activation happens, you may avoid or minimize the burn.

  1. Wash thoroughly: Clean the affected area immediately with soap and water. Use gentle pressure and avoid scrubbing, which could spread the sap or damage the skin. If soap isn't available, plain water is better than nothing.
  2. Cover the area: Immediately cover the affected skin with clothing or bandages to prevent sun exposure. Remember that UV rays can penetrate some fabrics and can reach skin on cloudy days.
  3. Wash your hands: Even if your hands didn't directly touch the plant, wash them thoroughly to prevent accidentally transferring sap to other body parts or to your face and eyes.
  4. Stay indoors: Remain out of direct sunlight for at least 48 hours after exposure, even if you don't see any skin reaction. The sap can remain active on the skin for extended periods.
  5. Change and wash clothing: Remove and wash any clothing that may have come into contact with the plant, as the sap can transfer from fabric to skin.

Treatment After Symptoms Develop

Once the phototoxic reaction has occurred and symptoms have developed, treatment focuses on reducing inflammation, managing pain, preventing infection, and supporting the healing process. The approach is similar to treating second-degree burns from other causes.

Cool compresses can provide significant relief from pain and burning sensations. Apply clean, cool (not cold) wet cloths to the affected area for 15-20 minutes at a time. Avoid using ice directly on the skin, as this can cause additional tissue damage.

Topical corticosteroids help reduce the inflammatory response and can speed healing. Over-the-counter hydrocortisone creams may be sufficient for mild reactions, but more severe burns may require prescription-strength corticosteroids. Follow package directions or your healthcare provider's instructions for application.

Pain management is important for comfort during the healing process. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Ibuprofen may be particularly helpful as it also has anti-inflammatory properties.

Wound care is essential, particularly if blisters have formed or broken. Keep the area clean and covered with a sterile, non-stick bandage. Avoid popping or breaking blisters intentionally, as the fluid inside provides a natural protective barrier and breaking them increases infection risk. If blisters break on their own, gently clean the area, apply an antibiotic ointment, and cover with a fresh bandage.

Caring for blisters:

Intact blisters serve as a natural bandage that protects the damaged skin underneath and promotes healing. If you have large blisters that interfere with movement or are at high risk of rupturing, a healthcare provider can drain them safely using sterile technique while leaving the roof of the blister in place to protect the wound bed.

When to Seek Medical Care

While many giant hogweed burns can be managed at home with proper first aid, certain situations warrant professional medical evaluation and treatment:

  • Large burn area: If the burn covers a significant portion of your body (roughly an area larger than your palm)
  • Face, hands, feet, or genitals: Burns in these sensitive areas require professional assessment
  • Eye exposure: Any contact with the eyes requires emergency care
  • Signs of infection: Increasing pain, spreading redness, warmth, pus, fever, or red streaks extending from the wound
  • Severe blistering: Multiple large blisters or blisters that cover joints
  • Children or elderly: These populations may be more vulnerable to complications
  • Underlying health conditions: People with diabetes, immune system problems, or other conditions that affect healing

When Should You Seek Emergency Medical Care?

Seek emergency care immediately if giant hogweed sap contacts your eyes, if you develop difficulty breathing, if the burn covers more than 10% of your body, if you develop signs of severe infection (high fever, spreading redness, confusion), or if a child or vulnerable person is affected.

Most giant hogweed burns, while painful and potentially disfiguring, are not life-threatening and can be managed with appropriate first aid and outpatient medical care. However, certain situations require immediate emergency attention.

Eye exposure is the most serious concern. The same phototoxic mechanism that damages skin can cause severe damage to the delicate tissues of the eye, potentially resulting in temporary or permanent vision loss. If sap contacts the eyes, flush immediately with clean water for at least 15 minutes and seek emergency care even if symptoms seem mild - the full extent of damage may not be immediately apparent.

Very large burns covering substantial body surface area can lead to complications similar to other major burns, including fluid loss, infection risk, and systemic inflammatory responses. As a general guide, burns covering more than 10% of body surface area (roughly an area equal to 10 of your palm prints) should be evaluated urgently.

🚨 Call emergency services immediately if:
  • Sap has contacted the eyes
  • The person is having difficulty breathing
  • Burns cover more than 10% of the body
  • There are signs of severe infection (high fever, confusion, rapidly spreading redness)
  • A young child has significant exposure
  • The person has ingested any part of the plant

Find your emergency number

How Do You Identify Giant Hogweed?

Giant hogweed is a very tall plant (3-5 meters/10-15 feet) with thick, hollow, purple-blotched stems, large umbrella-shaped white flower clusters (up to 60cm across), and deeply divided leaves spanning 1-1.5 meters. It resembles a giant version of cow parsley or wild carrot and is found along roadsides, riverbanks, and wild areas.

Correctly identifying giant hogweed is essential for avoiding accidental exposure. While several harmless plants share some visual characteristics, giant hogweed has distinctive features that set it apart once you know what to look for.

The most obvious characteristic is its enormous size. Mature giant hogweed plants typically stand 3-5 meters (10-15 feet) tall, towering over most other plants in the same area. The stem can be 5-10 centimeters (2-4 inches) in diameter and is hollow. One of the most reliable identifying features is the purple or reddish-purple blotches and coarse white hairs on the stem.

The flower heads are large, umbrella-shaped clusters (called umbels) of small white flowers. These can reach up to 60 centimeters (about 2 feet) across - significantly larger than similar-looking plants like cow parsley or wild carrot, whose flower clusters are typically only 10-20 centimeters across.

The leaves are enormous and deeply lobed, resembling a giant version of parsley leaves. A single leaf can span 1-1.5 meters (3-5 feet) across and is divided into pointed segments with serrated edges. The leaves are arranged alternately along the stem and have a rough texture.

Plants Commonly Confused with Giant Hogweed

Several plants look similar to giant hogweed and are often confused with it. While some of these can also cause skin reactions (though typically milder), others are completely harmless. Learning to distinguish between them helps avoid both unnecessary panic and dangerous complacency.

  • Common hogweed (Heracleum sphondylium): Much smaller (1-2 meters), also causes phytophotodermatitis but typically less severe. Stems are green without prominent purple blotches.
  • Cow parsley (Anthriscus sylvestris): Much smaller (60-150cm), delicate stems, fern-like leaves, harmless.
  • Wild carrot/Queen Anne's Lace (Daucus carota): Much smaller (up to 1 meter), often has a single dark flower in the center of the white cluster, harmless.
  • Angelica (Angelica archangelica): Can be tall but stems are smooth and green or purple, flower clusters are greenish-white and rounded.
  • Wild parsnip (Pastinaca sativa): Yellow flowers (not white), does cause phytophotodermatitis.
When in doubt, don't touch:

If you encounter a plant that you think might be giant hogweed, do not touch any part of it. Even brushing against the leaves or stem can transfer sap to your skin. Take photos from a safe distance if you need help with identification, and report suspected giant hogweed sightings to local environmental or agricultural authorities - it's an invasive species in many regions and reporting helps control its spread.

How Can You Prevent Giant Hogweed Burns?

Prevent giant hogweed burns by learning to identify the plant, avoiding contact with any part of it, wearing protective clothing (long sleeves, pants, gloves, eye protection) when working in areas where it grows, washing immediately if contact occurs, and staying out of sunlight for 48 hours after any suspected exposure.

Prevention is by far the best approach to giant hogweed burns. Once exposure has occurred and a phototoxic reaction has developed, treatment can only manage symptoms - it cannot undo the damage. Understanding where giant hogweed grows, how to identify it, and what precautions to take can help you avoid this painful condition entirely.

Knowing Where Giant Hogweed Grows

Giant hogweed is found across much of Europe, North America (particularly the northeastern United States and Canada), and parts of Asia and Australia. It thrives in disturbed areas with moist soil and is commonly found along:

  • Riverbanks, streams, and drainage ditches
  • Roadsides and railway embankments
  • Woodland edges and clearings
  • Abandoned lots and waste ground
  • Parks and public lands
  • Garden borders where it may have escaped cultivation

The plant is most hazardous during its active growing season from spring through fall, with peak sap production typically occurring in late spring and early summer when the plant is flowering. However, the sap remains dangerous throughout the year, including from dead plant material.

Protective Measures

If you must work in areas where giant hogweed grows, or if you're involved in removing the plant, proper protective equipment is essential:

  • Long sleeves and pants: Wear thick fabric that covers all skin. The sap can penetrate thin or loosely woven fabrics.
  • Waterproof gloves: Chemical-resistant gloves provide better protection than cloth or leather.
  • Eye protection: Wear goggles or a face shield, especially when cutting or removing plants.
  • Rubber boots: Protect feet and lower legs from sap.
  • Work on cloudy days: If removal is necessary, working on overcast days reduces UV exposure risk if accidental contact occurs.

After any work around giant hogweed, remove and wash clothing separately from other laundry. Shower thoroughly, paying attention to any areas that may have been exposed. Tools used to cut or remove the plants should be cleaned carefully, as they can transfer sap.

Frequently Asked Questions

Giant hogweed burns appear as severe redness followed by painful blisters that resemble second-degree burns. The affected skin becomes inflamed, swollen, and extremely painful. The burns often appear in streaky or irregular patterns that match where the plant sap contacted the skin - you might see linear marks from brushing against a stem or scattered spots from droplets of sap.

After the initial blistering phase subsides, the skin often develops dark discoloration (hyperpigmentation) that can be quite dramatic and may last months or even years. The affected area may also appear slightly textured or scarred, depending on the severity of the burn and how it healed.

Giant hogweed burns typically appear within 24-48 hours after sun exposure following contact with the plant sap. This is different from thermal burns which cause immediate pain. You will not feel any symptoms immediately when touching the plant - the sap is colorless and does not sting or burn on contact.

The reaction only occurs when the skin is exposed to UV light (sunlight) after contact with the sap. This delayed onset often makes it difficult for people to connect their symptoms to the plant exposure. If you've washed the sap off and completely avoided sun exposure, you may not develop any reaction at all.

Immediately wash the affected area thoroughly with soap and water to remove as much plant sap as possible. Time is critical - the sooner you wash, the better your chances of preventing or minimizing the reaction. Stay out of sunlight and keep the exposed area covered for at least 48 hours, even if you don't see any reaction yet.

Apply cool compresses and moisturizing lotion to soothe the skin. Change and wash any clothing that may have contacted the plant. If blisters develop or the burn covers a large area, seek medical attention. Remember to wash your hands thoroughly even if they weren't the main contact point, to avoid spreading sap to your face or eyes.

The acute blistering and pain from giant hogweed burns typically last 1-3 weeks. During this time, the blisters will form, potentially rupture, and the underlying skin will begin to heal. Pain and discomfort gradually decrease over this period with proper wound care.

However, the skin discoloration (hyperpigmentation) can persist for much longer - months or even years in some cases. The affected skin also remains photosensitive, meaning it can react more easily to sunlight for an extended period. Complete healing depends on burn severity, the amount and duration of UV exposure, and how the wound was cared for during healing. Protecting the area from sun exposure for weeks to months after the initial injury is important for optimal healing.

Yes, giant hogweed sap is extremely dangerous if it contacts the eyes. The same phototoxic chemicals that burn skin can cause severe damage to the cornea and other eye structures, potentially resulting in temporary or permanent vision loss. Symptoms of eye exposure include intense pain, extreme sensitivity to light, swelling of the eyelids and surrounding tissue, and watering or discharge.

If sap gets in the eyes, immediately flush with clean water for at least 15 minutes, keeping the eyes open and moving them around to ensure thorough rinsing. Then seek emergency medical care immediately, even if symptoms seem mild. Keep the eyes protected from light while seeking care. Even touching your face after handling the plant can transfer sap to the eyes, so thorough hand washing after any potential exposure is essential.

Yes, giant hogweed burns can cause permanent damage in some cases. The most common long-term effect is hyperpigmentation - darkening of the skin that can persist for years. In severe cases, particularly with extensive burns or improper wound care, permanent scarring can occur. Eye exposure can result in permanent vision damage.

The affected skin may remain photosensitive indefinitely, meaning it burns more easily with future sun exposure. However, with proper first aid (immediate washing and sun avoidance), appropriate medical treatment, and diligent wound care, many people heal without significant long-term effects. The key is rapid response after exposure and protecting the affected area from further sun exposure during healing.

References and Sources

This article is based on peer-reviewed medical research and clinical guidelines from recognized international health organizations:

  1. American Academy of Dermatology (AAD). Phytophotodermatitis: Diagnosis and Treatment. Clinical Guidelines 2024. www.aad.org
  2. Karakas M, Bostanci S, et al. "Phytophotodermatitis caused by Heracleum mantegazzianum." Journal of the European Academy of Dermatology and Venereology. 2023;37(4):e456-e458.
  3. American Association of Poison Control Centers. Giant Hogweed Exposure Guidelines. 2024. www.aapcc.org
  4. World Health Organization (WHO). Management of Plant-Induced Dermatitis. Environmental Health Criteria. 2023.
  5. Lagey K, Duinslaeger L, Vanderkelen A. "Burns induced by plants." Burns. 1995;21(7):542-543.
  6. Centers for Disease Control and Prevention (CDC). Giant Hogweed Fact Sheet. Environmental Health. 2024. www.cdc.gov
  7. Pathak MA. "Phytophotodermatitis." Clinics in Dermatology. 1986;4(2):102-121.
  8. European Food Safety Authority (EFSA). Furanocoumarins in Food and Health Implications. Scientific Report. 2024.

Medical Editorial Team

This article was written and reviewed by iMedic's medical editorial team, comprising specialists in dermatology, toxicology, and emergency medicine.

Medical Writers

Board-certified dermatologists and toxicologists with extensive experience in phytophotodermatitis and environmental health hazards.

Medical Reviewers

Independent physicians who verify accuracy against current clinical guidelines from AAD, WHO, and poison control centers.

Editorial Standards: All content follows the GRADE evidence framework and is reviewed according to international medical standards. We have no commercial funding or pharmaceutical industry relationships.