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Exfoliative Dermatitis After a Long-Distance Drive

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Clinical Cases in Exfoliative Dermatitis

Part of the book series: Clinical Cases in Dermatology ((CLIDADE))

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Abstract

Exfoliative dermatitis is a serious condition involving more than 90% of the body skin surface and is commonly related to exacerbation of pre-existing disorders. In this report, we describe a case of a mechanical engineer with hand eczema who developed generalised erythema and scaling after a long-distance drive. Patch testing highlighted positive reactions to rubber additives. The patient was sensitised to these substances in his occupational setting and prolonged skin contact with the rubber steering wheel elicited a hypersensitivity reaction and dramatically progressed to exfoliation. Since the causative allergens have been identified, patient counselling was key to management. Clinicians should be aware that allergic contact dermatitis might be encountered as etiologic factor in exfoliative dermatitis.

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References

  1. Miyashiro D, Sanches JA. Erythroderma: a prospective study of 309 patients followed for 12 years in a tertiary center. Sci Rep. 2020;10(1):9774.

    Article  CAS  Google Scholar 

  2. Yuan X-Y, Guo J-Y, Dang Y-P, Qiao L, Liu W. Erythroderma: a clinical-etiological study of 82 cases. Eur J Dermatol. 2010;20(3):373–7.

    Article  Google Scholar 

  3. Li J, Zheng H-Y. Erythroderma: a clinical and prognostic study. Dermatology. 2012;225(2):154–62.

    Article  Google Scholar 

  4. Sehgal VN, Srivastava G. Exfoliative dermatitis. A prospective study of 80 patients. Dermatologica. 1986;173(6):278–84.

    Article  CAS  Google Scholar 

  5. Kanthraj GR, Srinivas CR, Devi PU, Ganasoundari A, Shenoi SD, Deshmukh RP, et al. Quantitative estimation and recommendations for supplementation of protein lost through scaling in exfoliative dermatitis. Int J Dermatol. 1999;38(2):91–5.

    Article  CAS  Google Scholar 

  6. Khaled A, Sellami A, Fazaa B, Kharfi M, Zeglaoui F, Kamoun MR. Acquired erythroderma in adults: a clinical and prognostic study. J Eur Acad Dermatol Venereol. 2010;24(7):781–8.

    Article  CAS  Google Scholar 

  7. Bologna JL, Schaffer JV, Cerroni L. Allergic contact dermatitis. In: Dermatology. 4th ed. Amsterdam: Elsevier; 2018. p. 242–61.

    Google Scholar 

  8. Tewari A, Khan I, Ostlere L. Steering wheel and gearstick dermatitis caused by chromate. Contact Dermatitis. 2019;81(4):322–3.

    Article  Google Scholar 

  9. Hamnerius N, Svedman C, Bergendorff O, Björk J, Bruze M, Engfeldt M, et al. Hand eczema and occupational contact allergies in healthcare workers with a focus on rubber additives. Contact Dermatitis. 2018;79(3):149–56.

    Article  CAS  Google Scholar 

  10. Uter W, Werfel T, Lepoittevin J-P, White IR. Contact allergy—emerging allergens and public health impact. Int J Environ Res Public Health. 2020;17(7):2404.

    Article  CAS  Google Scholar 

  11. Pak VM, Watkins M, Green-McKenzie J. What is the role of thiurams in allergy to natural rubber latex products? J Occup Environ Med. 2012;54(5):649–50.

    Article  CAS  Google Scholar 

  12. de Groot AC. Myroxylon pereirae resin (balsam of Peru)—a critical review of the literature and assessment of the significance of positive patch test reactions and the usefulness of restrictive diets. Contact Dermatitis. 2019;80(6):335–53.

    Article  Google Scholar 

  13. Adams AK, Warshaw EM. Allergic contact dermatitis from mercapto compounds. Dermatitis. 2006;17(2):56–70.

    PubMed  Google Scholar 

  14. Uter W, Werfel T, White IR, Johansen JD. Contact allergy: a review of current problems from a clinical perspective. Int J Environ Res Public Health. 2018;15(6):1108.

    Article  Google Scholar 

  15. Iammatteo M, Akenroye A, Jariwala S, Lee B, Schairer D, Rosenstreich D. Severe contact dermatitis due to ethylenediamine dihydrochloride in nystatin cream. J Allergy Clin Immunol Pract. 2017;5(5):1448–50.

    Article  Google Scholar 

  16. Chieregato C, Vincenzi C, Guerra L, Farina P. Occupational allergic contact dermatitis due to ethylenediamine dihydrochloride and cresyl glycidyl ether in epoxy resin systems. Contact Dermatitis. 1994;30(2):120.

    Article  CAS  Google Scholar 

  17. Warshaw EM, Gupta R, DeKoven JG, Maibach HI, Taylor JS, Fransway AF, et al. Patch testing of mercaptobenzothiazole and mercapto mix: the North American Contact Dermatitis Group Experience, 1994–2016. Dermatitis. 2021;32(4):232–44.

    Article  CAS  Google Scholar 

  18. Knijp J, Bruynzeel DP, Rustemeyer T. Diagnosing lanolin contact allergy with lanolin alcohol and Amerchol L101. Contact Dermatitis. 2019;80(5):298–303.

    Article  CAS  Google Scholar 

  19. Freiman A, Al-Layali A, Sasseville D. Patch testing with thimerosal in a Canadian center: an 11-year experience. Am J Contact Dermat. 2003;14(3):138–43.

    PubMed  Google Scholar 

  20. CAMP [Internet]. [cited 2021 Jan 23]. Available from: http://www.acdscamp.org/

  21. American Contact Dermatitis Society (ACDS) [Internet]. [cited 2021 Jan 23]. Available from: https://www.contactderm.org/

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Authors and Affiliations

  1. 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece

    Stamatios Gregoriou, Ileana-Afroditi Kleidona, Eleftheria Christofidou & Dimitrios Rigopoulos

Authors
  1. Stamatios Gregoriou
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  2. Ileana-Afroditi Kleidona
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  3. Eleftheria Christofidou
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  4. Dimitrios Rigopoulos
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Editor information

Editors and Affiliations

  1. Dermatology, Marconi University, Rome, Roma, Italy

    Torello M. Lotti

  2. Dermatologie & Allergologie, Städtisches Klinikum Dresden, Dresden, Sachsen, Germany

    Uwe Wollina

  3. Department of Dermatology & Venereology, Sechenov First Moscow State Medical University (Setchenov University), Moscow, Russia

    Olga Olisova

  4. Psychodermatology, Psychiatry & Behavioral Sciences, Central Michigan University College of Medicine, Saginaw, MI, USA

    Mohammad Jafferany

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Gregoriou, S., Kleidona, IA., Christofidou, E., Rigopoulos, D. (2022). Exfoliative Dermatitis After a Long-Distance Drive. In: Lotti, T.M., Wollina, U., Olisova, O., Jafferany, M. (eds) Clinical Cases in Exfoliative Dermatitis. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-031-08466-9_13

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  • DOI: https://doi.org/10.1007/978-3-031-08466-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08465-2

  • Online ISBN: 978-3-031-08466-9

  • eBook Packages: MedicineMedicine (R0)

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