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Allergic contact dermatitis to quaternium 15 in a moisturizing lotion.
Australas J Dermatol 2005; 46(4):284-5AJ

Abstract

A 56-year-old nurse from a rural area presented with a 12-month history of hand dermatitis. She had previously been patch tested by a local medical practitioner with the thin-layer rapid-use epicutaneous test, which had shown allergies to quaternium 15 and formaldehyde. After testing, she was prescribed methylprednisolone aceponate 1 mg/g cream by the medical practitioner, but was not informed that quaternium 15 is contained in the Microshield moisturizing lotion she was using at work. When her dermatitis persisted, she saw a dermatologist, who advised her to avoid the Microshield moisturizing lotion, and use a waterless hand cleanser on return to work. The diagnoses were firstly allergic contact dermatitis from quaternium 15 in the moisturizing lotion, and secondly irritant contact dermatitis from nursing work. This case highlights both the presence of quaternium 15 in a product commonly used in health-care settings in Australia, and the importance of offering informed, appropriate advice to patients following patch testing.

Authors+Show Affiliations

Occupational Dermatology Research and Education Centre, Skin and Cancer Foundation, Victoria, Australia.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16197434

Citation

Cahill, Jennifer, and Rosemary Nixon. "Allergic Contact Dermatitis to Quaternium 15 in a Moisturizing Lotion." The Australasian Journal of Dermatology, vol. 46, no. 4, 2005, pp. 284-5.
Cahill J, Nixon R. Allergic contact dermatitis to quaternium 15 in a moisturizing lotion. Australas J Dermatol. 2005;46(4):284-5.
Cahill, J., & Nixon, R. (2005). Allergic contact dermatitis to quaternium 15 in a moisturizing lotion. The Australasian Journal of Dermatology, 46(4), pp. 284-5.
Cahill J, Nixon R. Allergic Contact Dermatitis to Quaternium 15 in a Moisturizing Lotion. Australas J Dermatol. 2005;46(4):284-5. PubMed PMID: 16197434.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Allergic contact dermatitis to quaternium 15 in a moisturizing lotion. AU - Cahill,Jennifer, AU - Nixon,Rosemary, PY - 2005/10/4/pubmed PY - 2006/2/10/medline PY - 2005/10/4/entrez SP - 284 EP - 5 JF - The Australasian journal of dermatology JO - Australas. J. Dermatol. VL - 46 IS - 4 N2 - A 56-year-old nurse from a rural area presented with a 12-month history of hand dermatitis. She had previously been patch tested by a local medical practitioner with the thin-layer rapid-use epicutaneous test, which had shown allergies to quaternium 15 and formaldehyde. After testing, she was prescribed methylprednisolone aceponate 1 mg/g cream by the medical practitioner, but was not informed that quaternium 15 is contained in the Microshield moisturizing lotion she was using at work. When her dermatitis persisted, she saw a dermatologist, who advised her to avoid the Microshield moisturizing lotion, and use a waterless hand cleanser on return to work. The diagnoses were firstly allergic contact dermatitis from quaternium 15 in the moisturizing lotion, and secondly irritant contact dermatitis from nursing work. This case highlights both the presence of quaternium 15 in a product commonly used in health-care settings in Australia, and the importance of offering informed, appropriate advice to patients following patch testing. SN - 0004-8380 UR - https://www.unboundmedicine.com/medline/citation/16197434/Allergic_contact_dermatitis_to_quaternium_15_in_a_moisturizing_lotion_ L2 - https://doi.org/10.1111/j.1440-0960.2005.00210.x DB - PRIME DP - Unbound Medicine ER -