Case Reports Of Contact Dermatitis Research Articles

Geriatric Vulvar Dermatology

The purpose of this review is to provide the diagnosis and management of inflammatory vulvar dermatoses in the geriatric population. The increasing geriatric population in the USA necessitates informing a broad base of healthcare providers on this topic. In the elderly, there are increasing case reports of contact dermatitis due to sanitary napkins, incontinence pads, and over the counter medications. Superimposed vulvovaginal candidiasis and lichen simplex chronicus can occur simultaneously with the primary vulvar disease. The limited research specific to geriatric populations confirms the current state of vulvar dermatosis underdiagnosis. In order to close the gaps in diagnosis and treatment of vulvar dermatoses, providers should carefully review the patient’s medical history and complete a physical examination of the genitoanal area for asymptomatic and symptomatic elderly women. Prompt, consistent treatment can vastly improve the patient’s quality of life and is critical to preventing the advancement of lesions to squamous cell carcinoma in conditions that incur this increased risk such as lichen sclerosus and lichen planus.

Should We Stick with Surgical Glues? The Incidence of Dermatitis after 2-Octyl Cyanoacrylate Exposure in 102 Consecutive Breast Cases.

Skin adhesives have become standard in wound closure as alternatives to traditional sutures or as sterile occlusive dressings after surgery of all types. The literature is replete with case reports of contact dermatitis following exposure to cyanoacrylate-based adhesives, such as 2-octyl cyanoacrylate. Nonetheless, it has been the impression of the senior author and others that the incidence of allergic and/or contact dermatitis is much higher than commonly considered. The authors prospectively studied 102 consecutive patients who underwent breast surgery performed by the senior author with 2-octyl cyanoacrylate placed over incisions as an occlusive dressing. Two patients with a known glue allergy did not receive cyanoacrylate at surgery but were scratch tested to confirm the diagnosis. All patients were followed postoperatively. Twelve patients went on to develop significant dermatitis postoperatively after glue placement. Cyanoacrylate was confirmed as the cause of all rashes by allergy scratch testing for a total incidence of 14 percent (14 patients). Given the popularity of cyanoacrylate products across emergency rooms, clinics, and operating rooms, awareness of the true incidence of these reactions may caution against their use in the future. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, IV.

Specific Allergen Immunotherapy for the Treatment of Atopic Eczema: A Cochrane Systematic Review

Pierrick Cros, MD, Brice Lodde, MD, Anne-Marie RoguedasContios, MD, Jd Dewitte, MD, PhD, Laurent Misery, MD, PhD; Service de p ediatrie CHRU Morvan, Brest, France, Service de Dermatov en er eologie, CHRU Morvan, Brest, France, Service de Sant e au Travail et Maladies Li ees a l’Environnement, CHRU Morvan, Brest, France, Universit e Europ eenne de Bretagne, Universit e de Brest, EA 4686, CS 93837, Brest Cedex 3, France, Service de Dermato-v en er eologie, Brest, France, and Service de Sant e au Travail et Maladies Li ees a l’Environnement, CHRUMorvan, Brest, France, Universit e Europ eenne de Bretagne, Universit e de Brest, EA 4686, CS 93837, Brest, France. RATIONALE: Although there are a number of case reports of contact dermatitis caused by seafood products, few case series have been published. The primary objective of the present study was to determine and compare the incidences of protein contact dermatitis among professional seafaring fishermen in France and in onshore workers exposed to seafood. The secondary objective was to identify explanatory factors for any observed differences between these two populations. METHODS: We retrospectively analyzed data collected over a 12-year period by the French National Occupational Disease Surveillance and Prevention Network and the French National Network for the Monitoring and Prevention of Occupational Disease RESULTS: Between 2000 and 2012, we identified eight cases of seafoodrelated protein contact dermatitis in onshore workers (primarily fish allergies, and mainly affecting chefs). Atopy was frequent. In the seafaring population, we found several cases of eczema (due to bryozoans and gloves) but no cases of protein contact dermatitis. CONCLUSIONS: Chefs who prepare and cook seafood are at a greater risk of occupational protein contact dermatitis than fishermen. We suggest that skin protection (i.e. use of gloves, primarily) is better in the fishing sector than in the catering profession and other onshore activities. Atopy appears to be a risk factor for sensitivity to fish proteins in chefs but is rare among professional fishermen in France. Asthma may prevent atopic individuals from going to sea.

Urushiol-induced contact dermatitis caused during Shodhana (purificatory measures) of Bhallataka (Semecarpus anacardium Linn.) fruit

Bhallataka (Semecarpus anacardium Linn.; Ancardiaceae) is mentioned under Upavisha group in Ayurvedic classics and it is described as a poisonous medicinal plant in Drugs and Cosmetics Act (India), 1940. Fruit of Bhallataka is used either as a single drug or as an ingredient in many compound formulations of Indian systems of medicine to cure many diseases. Tarry oil present in the pericarp of the fruit causes blisters on contact. The major constituent of the tarry oil is anacardic acid and bhilawanol, a mixture of 3-n-pentadec(en)yl catechols. Bhilawanol A and B are known as Urushiols, and also, anacardic acid is closely related to Urushiol. Urushiol-induced contact dermatitis is the medical name given to allergic rashes produced by the oil Urushiol. This paper deals with five case reports of contact dermatitis caused during different stages of Shodhana (purificatory measures) of Bhallataka fruit due to improper handling of the utensils and disposal of media used in Shodhana procedure and their Ayurvedic management. To combat these clinical conditions, the affected persons were advised external application with pounded Nimba (Azadirachta indica A. Juss.) leaves on the affected parts and internal administration of Sarivadyasava 30 ml thrice daily after food and Triphala Churna 5 g before food twice daily. Reduction of itching and burning sensation was observed after topical application.

Case Report of Contact Dermatitis from Adhesive Magnetic Plaster

Case Report of Contact Dermatitis from Adhesive Magnetic Plaster

塩酸ヒドロキシルアミンによって生じたと思われる職業性接触皮膚炎の1例

A 36-year-old man, working in a chemical industry, had a generalized pruritic eruption. A forty-eight hour patch test revealed positivity for 1% hydroxylamine. Prevention of exposure to this chemical resulted in a dramatic improvement of the symptoms. Based on these findings, we diagnosed this case as occupational contact dermatitis due to hydroxylamine. There has been few case reports of contact dermatitis due to hydroxylamine. Histopathological examination revealed a marked spongiosis and a spongiotic bulla formation in the epidermis and follicular infundibulum, suggesting an allergic reaction.

CONTACT DERMATITIS DUE TO THE MERCURY OF AMALGAM DENTAL FILLINGS

The rarity of case reports of contact dermatitis due to the mercury of amalgam dental fillings has prompted us to report 2 cases which we have recently observed. Traub and Holmes¹reported 2 cases with an extensive review of the literature in 1938, and Blumenthal and Jaffe²recorded a similar case in 1929. Ellis and Robinson³reported on cutaneous sensitivity to mercurial compounds in 1942. The latter report suggested that sensitivity to mercury or mercurials may be selective, i. e., a patient may be sensitive to complex organic mercury compounds and not to inorganic compounds, and vice versa. The usual procedure in the preparation of an amalgam filling is as follows: The required amounts of silver alloy (which contains small amounts of copper, zinc and tin) and mercury are triturated together in a mortar. After the mass has been thoroughly mixed it is emptied into the dentist's