Tropical-wood-induced bullous erythema multiforme.
We report a case of bullous erythema multiforme caused by an exotic wood, pao ferro (Machaerium scleroxylon). A 25-year-old female, a luthier (guitar maker) who often handles a variety of woods, developed bullous erythema multiforme. A patch test confirmed a positive reaction to one of the exotic woods, pao ferro. A subsequent accidental short contact with pao ferro 5 months following the first incidence induced a similar exudative erythema. Exotic woods such as pao ferro should be added to the list of contact allergens that can induce bullous erythema multiforme.
Shimizu
S
S
Department of Dermatology, Ogikubo Hospital, Tokyo, Japan. satoko.shimizu@nifty.ne.jp
Chen
K R
KR
Pratchyapruit
W O
WO
Shimizu
H
H
D000328:Adult; D017449:Dermatitis, Allergic Contact / Q000209:etiology; D009783:Dermatitis, Occupational / Q000209:etiology; D004892:Erythema Multiforme / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D016273:Occupational Exposure / Q000009:adverse effects*; D010328:Patch Tests; D012872:Skin Diseases, Vesiculobullous / Q000209:etiology* / Q000473:pathology; D014329:Tropical Climate; D014934:Wood