Multiple corticosteroid allergies.
A case of vulval dermatitis and perioral dermatitis due to contact allergy to multiple class D corticosteroids, mometasone furoate and methylprednisolone aceponate is presented. Patch testing with commercially available corticosteroid creams is a simple and useful diagnostic test. Beware of delayed positive reaction, seen on day 8 of the repeat open application test on this patient.
Skin and Cancer Foundation, Ashley Lane, Westmead, NSW 2145, Australia. petenliz@bigpond.com
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D000287:Administration, Topical; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000209:etiology; D019557:Dermatitis, Perioral / Q000139:chemically induced / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids; D006801:Humans; D008775:Methylprednisolone / Q000009:adverse effects / Q000031:analogs & derivatives*; D008875:Middle Aged; D000068656:Mometasone Furoate; D010328:Patch Tests; D011244:Pregnadienediols / Q000009:adverse effects; D014845:Vulvar Diseases / Q000139:chemically induced / Q000175:diagnosis*
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011244:Pregnadienediols; D000068656:Mometasone Furoate; C078007:methylprednisolone aceponate; D008775:Methylprednisolone