Widespread eczema in an elderly patient

Widespread eczema in an elderly patient Contact dermatitis (CD) typically manifests as persistent or recurrent localized dermatitis caused by close and frequent contact between allergens and specific skin areas. This characteristic differentiates it from most other types of dermatitis, and makes its diagnosis easier. Here, a case of CD in terms of diffuse dermatitis in an elderly person is presented.Case ReportA 68‐year‐old male pensioner presented to our department complaining of an itchy rash that had recurred for almost 2 years. Discrete dry erythematous eczema plaques together with secondary scratch signs were widely scattered on his skin. He had already consulted his family doctor and several skin specialists. Cosmetic products for dry skin had no effect, and there were temporary improvements with corticosteroid creams. He denied any allergies or previous skin problems. No particular occupational or recreational exposure was identified.The patient was patch tested with the TRUE Test® baseline series (Mekos Laboratories, Hillerød, Denmark), containing 24 common contact allergens, and the results were read on day (D)2 and D4. He showed reactions to methylchloroisothiazolinone (MCI)/methylisothiazolinone (MI) on D2 (++) and on D4 (+++). On D2, the patient was advised to stop using MCI/MI‐containing and MI‐containing products. On D4, he brought in all of his personal care http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Contact Dermatitis Wiley

Widespread eczema in an elderly patient

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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.12936
Publisher site
See Article on Publisher Site

Abstract

Contact dermatitis (CD) typically manifests as persistent or recurrent localized dermatitis caused by close and frequent contact between allergens and specific skin areas. This characteristic differentiates it from most other types of dermatitis, and makes its diagnosis easier. Here, a case of CD in terms of diffuse dermatitis in an elderly person is presented.Case ReportA 68‐year‐old male pensioner presented to our department complaining of an itchy rash that had recurred for almost 2 years. Discrete dry erythematous eczema plaques together with secondary scratch signs were widely scattered on his skin. He had already consulted his family doctor and several skin specialists. Cosmetic products for dry skin had no effect, and there were temporary improvements with corticosteroid creams. He denied any allergies or previous skin problems. No particular occupational or recreational exposure was identified.The patient was patch tested with the TRUE Test® baseline series (Mekos Laboratories, Hillerød, Denmark), containing 24 common contact allergens, and the results were read on day (D)2 and D4. He showed reactions to methylchloroisothiazolinone (MCI)/methylisothiazolinone (MI) on D2 (++) and on D4 (+++). On D2, the patient was advised to stop using MCI/MI‐containing and MI‐containing products. On D4, he brought in all of his personal care

Journal

Contact DermatitisWiley

Published: Jan 1, 2018

Keywords: ; ;

References

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