Abstract :
Allergic contact dermatitis may be caused by exposure to chemicals. The skin usually develops type IV sensitivity where the initial sensitization may occur a few days but it may take years to develop in low grade exposure to these allergens. In the present study, the patient sustained the disorder through exposure to nickel sulfate, balsam of Peru and a fragrance mix which was confirmed by conducting a Patch test. The initial patient’s Investigator’s Global Assessment, Eczema Area and Severity Index, Dermatology Life Quality Index and Patient-oriented Eczema Measure scores were 3, 9.6, 6 and 14, respectively and improved to 1, 0.6, 1 and 1, respectively after two months of intervention. Good occupational hygiene is vital such as wearing polyvinyl chloride gloves to avoid nickel contact and effective handwashing practices to prevent nickel buildup on the hands. Avoidance of contact of fragrances in cleaning products averts contact dermatitis.
Keywords :
Allergic contact dermatitis, Eczema, Fragrance, nickel, Patch testReferences :
- Nosbaum A, Vocanson M, Rozieres A, Hennino A, Nicolas J.-F. Allergic and irritant contact dermatitis. Eur J Dermatol 2009; 19(4):1-8.
- Ministry of Health Malaysia. Clinical Practice Guidelines: Management of Atopic Eczema 2018. Putrajaya: Malaysian Health Technology Assessment Section (MaHTAS).
- Peiser M, Tralau T, Heidler J, Api AM, Arts JH, Basketter DA, . . . Luch A. Allergic contact dermatitis: epidemiology, molecular mechanisms, in vitro methods and regulatory aspects: Current knowledge assembled at an international workshop at BfR, Germany. Cell Mol Life Sci 2012; 69(5):763-781. doi:10.1007/s00018-0110846-8
- Huzaifah H, Rahmawati HT. Prevalence of Occupational Hand Contact Dermatitis And Its Associated Factors Among Staff Nurses of a Public Hospital in Selangor. International Journal of Public Health and Clinical Sciences 2019; 6(1):118-130.
- Pootongkam S, Nedorost S. Allergic Contact Dermatitis in Atopic Dermatitis. Curr Treat Options Allergy 2014; 1(4):329-336.
- Fonacier L, Bernstein DI, Pacheco K, Holness DL, Blessing-Moore J, Khan D, . . . Wallace D. Contact Dermatitis: A Practice Parameter-Update 2015. J Allergy Clin Immunol Pract 2015; 3(3 Suppl):1-39. doi:10.1016/j.jaip.2015.02.009
- Bernstein IL, Li JT, Bernstein DI, Hamilton R, Spector SL, Tan R, . . . Weber R. Allergy Diagnostic Testing: An Updated Practice Parameter. Ann Allergy Asthma Immunol 2008; 100(3):1-148.
- Lazzarini R, Duarte I, Ferreira AL. Patch tests. An Bras Dermatol 2013; 88(6):879-888. doi:10.1590/abd1806-4841.20132323
- Torres F, das Graças M, Melo M, Tosti A. Management of contact dermatitis due to nickel allergy: An update. Clin Cosmet Investig Dermatol 2009; 2:39-48. doi: 10.2147/ccid.s3693.
- Bergman D, Goldenberg A, Rundle C, Jacob SE. J Clin Exp Dermatol Res, 2016; 7(3):1-5. doi:10.4172/2155-9554.1000355