Contact allergy to moisturizers in Finland: the tale of the lurking tube in the medicine cupboard

Contact allergy to moisturizers in Finland: the tale of the lurking tube in the medicine cupboard Finnish dermatologists recently identified caprylhydroxamic acid as the culprit in the onset of a national outbreak of contact dermatitis caused by Apobase®, a widely used moisturizer . As with the Chinese sofa dermatitis in 2007, networking was crucial in gathering cases and solving this problem . In February 2016, suspected creams were recalled from the market, and the culprit component was withdrawn from all formulations in summer 2016 . Even though adequate measures were taken rapidly in this situation [market withdrawal; alerts in the media ], it is important to remain vigilant during the coming year, as samples may lurk in a patient's cupboard, and physicians may forget to enquire about the culprit. Two illustrative cases are reported here.Case ReportsA 27‐year‐old man with chronic lichenification of the dorsum of the foot presented in September 2016 (6–7 months after Apobase® withdrawal) with acute eczema of the foot lasting for 1 week (Fig. ). He also had lesions around the mouth, fingers, and groins. He acknowledged applying Apobase® cream recently. The tube had been bought in ‘spring 2016’, but had been left in the cupboard before its recent use. Apobase® withdrawal and highly potent corticosteroids rapidly alleviated the symptoms.Acute eczema of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Contact Dermatitis Wiley

Contact allergy to moisturizers in Finland: the tale of the lurking tube in the medicine cupboard

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
ISSN
0105-1873
eISSN
1600-0536
D.O.I.
10.1111/cod.12927
Publisher site
See Article on Publisher Site

Abstract

Finnish dermatologists recently identified caprylhydroxamic acid as the culprit in the onset of a national outbreak of contact dermatitis caused by Apobase®, a widely used moisturizer . As with the Chinese sofa dermatitis in 2007, networking was crucial in gathering cases and solving this problem . In February 2016, suspected creams were recalled from the market, and the culprit component was withdrawn from all formulations in summer 2016 . Even though adequate measures were taken rapidly in this situation [market withdrawal; alerts in the media ], it is important to remain vigilant during the coming year, as samples may lurk in a patient's cupboard, and physicians may forget to enquire about the culprit. Two illustrative cases are reported here.Case ReportsA 27‐year‐old man with chronic lichenification of the dorsum of the foot presented in September 2016 (6–7 months after Apobase® withdrawal) with acute eczema of the foot lasting for 1 week (Fig. ). He also had lesions around the mouth, fingers, and groins. He acknowledged applying Apobase® cream recently. The tube had been bought in ‘spring 2016’, but had been left in the cupboard before its recent use. Apobase® withdrawal and highly potent corticosteroids rapidly alleviated the symptoms.Acute eczema of

Journal

Contact DermatitisWiley

Published: Jan 1, 2018

Keywords: ; ; ;

References

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