Eyelid dermatitis
• | often an “ectopic” allergin – top 3 = nail cosmetics, gold, or hair care products (including shampoos) |
• | tosylamide formaldehyde resin – in nail polish; clinical – eyelid dermatitis only (i.e. an ectopic allergen) |
• | ethyl acrylate – nail tip glues patch test with dried crazy glue on a band-aid X 48hrs; clinical – paronychia, fissured finger tips and eyelid dermatitis; tips need to be off for two months before improvement expected; |
• | gold – can affect hands, face, and/or eyelids (2 month trial of no gold jewelry) |
• | cocamidopropyl betaine – a surfactant in shampoo |
• | nickel (eyelash curlers); rubber (eyelash curlers, cosmetic sponges); perfumes; benzalkonium chloride from facial tissues |
Facial Dermatitis – fragrance or cosmetic product on oneself OR a partner
Axilla Dermatitis – formaldehyde-releasing preservatives in wrinkle-resistant clothing may leach out with sweat (spares axillary vault)
Perioral excematoid eruptions – cinnamon flavoring and peppermint in dentifrices and chewing gum; other dental materials
Photoallergic contact dermatitis – often caused by sunscreens in cosmetics; “chemical free” physical sunblocks should be okay (titanium dioxide or zinc oxide)
Systematized contact
may present as:
• | an exacerbation of vesicular hand dermatitis |
• | an eczematous flare of previously positive patch tests |
• | a systemic eczematous eruption with a predisposition for the buttocks, genital areas, elbow flexures, axillae, eyelids and side of the neck – the term baboon syndrome was coined for this eruption |
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