During my newbie period I asked this same question. Mike (our illustrious list owner) sent the info that this is an actual medical journal-documented medical term. I think he may have even sent the url for the documentation or journal name and volume info or something with that response. I will look to see if I still have that info stored someplace but I think it may have gone after lo so many changes in mail programs since then. If my memory serves, this term was coined to label the dermatitis on the hands of a chef at a Hunan restaurant who had handled too many chiles and ended up at the hospital. Have I totally butchered this, Mike? (a mind is a terrible thing to waste) Deb in Houston