Erythematous-desquamative lesions presented by the pati

Protein contact dermatitis--case report. Barata AR, Conde-Salazar L - An Bras Dermatol (2013 Jul-Aug) Bottom Line: Clinically it presents as a chronic hand and/or forearms eczema of occupational origin, especially in professionals who work as food handlers.The most sensitive and practical is the prick-by-prick test with food that the patient refers to cause intense itching after immediate skin contact.Treatment is symptomatic, and it is mandatory to avoid the responsible allergen, wearing plastic gloves and even sometimes leaving the workplace for symptom resolution. View Article: PubMed Central - PubMed Affiliation: Instituto de Salud Carlos III, Madrid, Spain. ABSTRACT Protein contact dermatitis is a skin condition not well known and underdiagnosed by dermatologists, resulting from an IgE-mediated allergic reaction. Clinically it presents as a chronic hand and/or forearms eczema of occupational origin, especially in professionals who work as food handlers. Epicutaneous tests are negative, and to diagnose this condition it is necessary to perform immediate-type allergy tests. The most sensitive and practical is the prick-by-prick test with food that the patient refers to cause intense itching after immediate skin contact. Treatment is symptomatic, and it is mandatory to avoid the responsible allergen, wearing plastic gloves and even sometimes leaving the workplace for symptom resolution. Show MeSH Major Dermatitis, Allergic Contact/diagnosis/etiology Dermatitis, Occupational/diagnosis/etiology Dietary Proteins/adverse effects* Food Hypersensitivity/diagnosis/etiology Hand Dermatoses/diagnosis/etiology Minor Adult Female Humans Immunoglobulin E/blood Skin Tests Related in: MedlinePlus	© Copyright Policy - open-access Related In: Results - Collection License Show All Figures getmorefigures.php?uid=PMC3760939&req=5 f01: Erythematous-desquamative lesions presented by the patient when she came for thefirst appointment Mentions: A 37-year-old female, with a personal history of intrinsic asthma, treated withsalbutamol, and who worked as a cook, was referred to our Center for evaluation of skinlesions on the dorsum of the hands and forearms, which had started 2 years before. Onphysical examination eczematous plaques were observed on the dorsal aspect of bothforearms and hands, including fingers and interdigital surfaces, with the presence offissures (Figure 1). She had previously beentreated with moderate potency topical corticosteroids without improvement.

Protein contact dermatitis--case report.

Barata AR, Conde-Salazar L - An Bras Dermatol (2013 Jul-Aug)

Bottom Line: Clinically it presents as a chronic hand and/or forearms eczema of occupational origin, especially in professionals who work as food handlers.The most sensitive and practical is the prick-by-prick test with food that the patient refers to cause intense itching after immediate skin contact.Treatment is symptomatic, and it is mandatory to avoid the responsible allergen, wearing plastic gloves and even sometimes leaving the workplace for symptom resolution.

View Article: PubMed Central - PubMed

Affiliation: Instituto de Salud Carlos III, Madrid, Spain.

ABSTRACT

Protein contact dermatitis is a skin condition not well known and underdiagnosed by dermatologists, resulting from an IgE-mediated allergic reaction. Clinically it presents as a chronic hand and/or forearms eczema of occupational origin, especially in professionals who work as food handlers. Epicutaneous tests are negative, and to diagnose this condition it is necessary to perform immediate-type allergy tests. The most sensitive and practical is the prick-by-prick test with food that the patient refers to cause intense itching after immediate skin contact. Treatment is symptomatic, and it is mandatory to avoid the responsible allergen, wearing plastic gloves and even sometimes leaving the workplace for symptom resolution.

Show MeSH

Related in: MedlinePlus

Erythematous-desquamative lesions presented by the patient when she came for thefirst appointment

Related In: Results - Collection

License

Show All Figures

getmorefigures.php?uid=PMC3760939&req=5

f01: Erythematous-desquamative lesions presented by the patient when she came for thefirst appointment

Mentions: A 37-year-old female, with a personal history of intrinsic asthma, treated withsalbutamol, and who worked as a cook, was referred to our Center for evaluation of skinlesions on the dorsum of the hands and forearms, which had started 2 years before. Onphysical examination eczematous plaques were observed on the dorsal aspect of bothforearms and hands, including fingers and interdigital surfaces, with the presence offissures (Figure 1). She had previously beentreated with moderate potency topical corticosteroids without improvement.