Contact dermatitis to white petrolatum

Skinmed
Roopal V KunduClaudia Hernandez

Abstract

A 31-year-old Caucasian woman presented with a 20-year history of presumed atopic dermatitis. She complained of severe pruritus and the presence of extensive patches of erythema and scale. Her previous treatments included: multiple topical corticosteroids, tacrolimus 0.1% ointment, pimecrolimus 1% cream, and cyclosporine with no improvement of her symptoms. Her past medical history was unremarkable and she was on no other oral medications, including over-the-counter products. On physical examination, multiple erythematous, scaly patches were present on the chest, abdomen,back, and upper extremities. Lichenification of both antecubital fossa was present. Extensive excoriations on her arms and abdomen were also noted. Although the patient had a long-standing history of presumed atopic dermatitis, she had never undergone a skin biopsy. A skin biopsy was performed which demonstrated a perivascular lymphocytic infiltrate with eosinophils and dermal edema (Figures 1, 2). The biopsy was suggestive of possible hypersensitivity dermatitis. The patient then underwent patch testing. The following patch tests were applied to normal back skin using IQ chambers:North American Contact Dermatitis Group (NACDG) expanded standard, textile, fragr...Continue Reading

References

Dec 1, 1978·Contact Dermatitis·F Grimalt, C Romaguera
Dec 1, 1978·Contact Dermatitis·F Grimalt, C Romaguera
Feb 1, 1978·Contact Dermatitis·H Maibach
Jan 1, 1987·Contact Dermatitis·M Ayadi, P Martin
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Citations

Oct 12, 2012·International Journal of Cosmetic Science·M BekkerJ Potgieter
Jun 1, 2013·Journal of Applied Toxicology : JAT·S A ChandraR Adler
Dec 8, 2006·Dermatitis : Contact, Atopic, Occupational, Drug·Christine C Tam, Dirk M Elston
Jan 17, 2019·Dermatitis : Contact, Atopic, Occupational, Drug·Calvin T SungSharon E Jacob
Dec 21, 2018·Dermatitis : Contact, Atopic, Occupational, Drug·Calvin T SungSharon E Jacob
Mar 27, 2020·Dermatitis : Contact, Atopic, Occupational, Drug·Nicole UfkesSteven R Feldman

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