Multiple chemical sensitivities, including iatrogenic allergic contact dermatitis, in a patient with chronic actinic dermatitis: implications for management. American journal of contact dermatitis : official journal of the American Contact Dermatitis Society. [Am J Contact Dermat] Journal article | | Title | Multiple chemical sensitivities, including iatrogenic allergic contact dermatitis, in a patient with chronic actinic dermatitis: implications for management. | | Author(s) | Stitt WZ, Scott GA, Martin RE, Gaspari AA | | Institution | Department of Dermatology, University of Rochester School of Medicine and Dentistry, NY, USA. | | Source | Am J Contact Dermat 1996 Sep; 7(3):166-70. | | MeSH | Adrenal Cortex Hormones
Aged
Chronic Disease
Cross Reactions
Dermatitis, Photoallergic
Humans
Iatrogenic Disease
Male
Patch Tests
Sunscreening Agents
| | Abstract | BACKGROUND: Chronic actinic dermatitis represents a spectrum of photosensitive dermatoses. Phototesting and photopatch testing are necessary to elucidate the specific subtype. Such patients may have multiple cutaneous allergies and photoallergies.
OBJECTIVE: This is a case report of a patient with chronic actinic dermatitis whose condition was worsened by certain sunscreens and corticosteroids. Our purpose was to identify the specific subtype of chronic actinic dermatitis and cutaneous allergens.
METHODS: Phototesting to UVB and UVA was performed. Photopatch testings to standard photoallergens and to Photoplex sunscreen ingredients was performed. Patch testing to standard allergens and proprietary corticosteroids was performed.
RESULTS: Positive photoallergies to Photoplex sunscreen and the UVA screen within Photoplex, Parsol 1789 (4-tert-butyl-4'-methoxydibenzoyl-methane), were identified. Positive allergies to Aclovate (alclometasone dipropionate) cream and ointment and Locoid (hydrocortisone butyrate) ointment were identified. The patient showed increased UVB sensitivity.
CONCLUSION: This is a case report of a patient with chronic actinic dermatitis. A relevant photoallergy to Parsol 1789 and corticosteroid sensitivities to aclometasone and hydrocortisone butyrate were identified. Multiple cutaneous allergens may be identified in patients with chronic actinic dermatoses, and avoidance of known allergens may result in significant improvement of the chronic dermatitis. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 8957333 |
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