1/8. Irritant contact dermatitis after use of Bispectral Index sensor in prone position.IMPLICATIONS: Because the Bispectral Index monitor is placed on the forehead, skin reactions such as dermatitis have more than cosmetic implications for the physician and patient.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/8. Urticarial contact dermatitis in food handlers.OBJECTIVE: To show that prick testing (using fresh samples of the food suspected from the patient's history) and not only patch testing is the appropriate investigation in selected cases of hand dermatitis in patients who spend considerable time handling foods (for example, catering workers, cooks). SETTING: The Contact and Occupational dermatitis Clinic at the skin and Cancer Foundation, a tertiary referral centre in Sydney. patients: Fourteen patients with hand dermatitis present for an average of 6.17 years referred by dermatologists and occupational health physicians. INTERVENTIONS: Patch and prick tests were performed for each patient. RESULT: In all patients prick tests identified the food allergens. seafood was the most common allergen giving positive results in 10 patients. patch tests did not identify any of the food allergens. Of the 14 patients nine were followed up and seven of these had been forced to change their career direction. CONCLUSION: Prick testing is the appropriate investigation in selected cases for the diagnosis of urticarial contact dermatitis in food handlers.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/8. Allergic contact dermatitis from formaldehyde in a liquid soap.A case is reported of a 74-year-old white man who developed generalized allergic contact dermatitis from formaldehyde present in a liquid soap. The patient had a 2 positive patch test reaction to formaldehyde, which was present as a preservative in the soap at 0.1% concentration. His dermatitis cleared when he switched to a nonformaldehyde-containing bar soap. The cause of the contact dermatitis was covert to both physician and patient before patch testing. Since registration with the Food and Drug Administration of formaldehyde-containing soaps is voluntary, it is likely that there are more soaps on the market than the six registered as of June 1988.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/8. dermatitis due to sulfites in home permanent preparations. Part II.Irritant contact dermatitis to sulfite hair preparations most commonly occurs when users do not follow instructions. Allergic eczematous reactions are very rare; immediate urticarial reactions seem to occur principally in patients with asthma. Pretesting should be done in such patients in a physician's office where medication for the treatment of shock or asthma is available.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/8. Disuse contractures in a patient with tinea manuum and irritant contact dermatitis.Disuse contractures are reported in a patient with tinea manuum and irritant contact dermatitis. The case is presented to alert the physician to the potential for this problem in any patient with a chronic fissured dermatosis of the hands.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/8. Severe contact dermatitis due to nitroglycerin patches.As shown by the two cases described, contact dermatitis due to nitroglycerin patches can be severe. patients should be counseled to rotate application sites daily and report to the physician any signs of skin irritation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/8. Norwegian-type scabies mimicking contact dermatitis in an immunosuppressed patient.patients taking immunosuppressive drugs are susceptible to various forms of infection, including dermatologic disease. Recently, atypical manifestations of scabies have been reported in such patients. In the case reported here, a 26-year-old woman who had had a renal transplant and was taking immunosuppressive drugs had a pruritic rash on the back that closely resembled contact dermatitis. However, skin scrapings from the involved areas and punch biopsy specimen of the back showed live scabies mites. The pruritus was relieved and the skin lesions disappeared within ten days of treatment with scabicides. We believe that current widespread use of immunosuppressive agents may result in more cases of atypical forms of scabies. Therefore, physicians who deal with immunosuppressed patients should be aware of this possibility.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/8. Is allergic contact dermatitis being overlooked?Contact dermatitis is very common and is among the top 20 reasons for a patient to visit a physician. This article reviews the basic features of irritant and allergic contact dermatitis and provides case examples. We emphasize the use of patch testing to diagnose specific allergens in allergic contact dermatitis. Contact dermatitis is important to recognize since there are prevention and intervention strategies that may be of great help to the patient. Accurate diagnosis and prevention of contact dermatitis would have a positive impact on medical care costs and job productivity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |