Abstract | BACKGROUND: OBSERVATIONS: We report a case of allergic contact dermatitis caused by the use of hair dye containing PPD that developed in a patient who had been using the same hair dye for many years. Her symptoms included scalp dermatitis and widespread skin lesions as well as lymphadenopathy and quite possibly dyspnea resembling asthma. What is most remarkable about this case is the histopathologic finding of neutrophilic cellulitis and a marked neutrophilic infiltrate with variable spongiosis. This unique finding was confirmed by histologic analysis of a patch test lesion specimen. CONCLUSION: It is always important to consider contact allergic dermatitis as a cause of dermatitis because of the variable presentation of the disease, including unique histologic findings that do not fit the conventional picture, as in the present case.
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Authors | Vincent Lönngren, Ewa Young, Mecius Simanaitis, Cecilia Svedman |
Journal | Archives of dermatology
(Arch Dermatol)
Vol. 148
Issue 11
Pg. 1299-301
(Nov 2012)
ISSN: 1538-3652 [Electronic] United States |
PMID | 23165836
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Hair Dyes
- Phenylenediamines
- 4-phenylenediamine
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Topics |
- Dermatitis, Allergic Contact
(diagnosis, etiology, pathology)
- Dyspnea
(etiology)
- Eosinophilia
(metabolism)
- Female
- Hair Dyes
(adverse effects)
- Humans
- Lymphatic Diseases
(etiology)
- Middle Aged
- Neutrophils
(metabolism)
- Patch Tests
- Phenylenediamines
(adverse effects)
- Scalp Dermatoses
(chemically induced, diagnosis, pathology)
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