Eyelid dermatitis: a report of 215 patients.
Between April 2001 and October 2003, 215 persons presented with eyelid dermatitis for the first time. They ranged in age from 4 months to 95 years, with an average age of 49.6 years and a median age of 51 years. There were 173 females and 42 males. 165 of 215 had allergic contact dermatitis (ACD) and another 9 had protein contact dermatitis without relevant positive patch tests. Atopic eczema comprised 37 of 215 (17%), but 33 of 37 also had contact allergies. Seborrheic dermatitis, psoriasis or both were found in 35 (16%). Sources of ACD included personal care products in 54 (25%), including 12 with at least 1 positive patch test to cosmetic applicators and 12 sensitive to at least 1 botanical ingredient. Allergy to artificial nails and/or nail lacquer occurred in 18 of 215 (8%). 5 persons had rosacea or periorbital dermatitis, and 2 had dermatomyositis. Other causes included bacterial, fungal and viral infections, some of which were quite unusual. The evaluation of persons presenting with eyelid dermatitis remains a relatively complex but rewarding discipline.
Guin
Jere D
JD
jdguin@swbell.net
D000287:Administration, Topical; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003358:Cosmetics / Q000009:adverse effects; D003876:Dermatitis, Atopic / Q000150:complications / Q000209:etiology; D003877:Dermatitis, Contact / Q000150:complications / Q000209:etiology*; D019557:Dermatitis, Perioral / Q000150:complications / Q000209:etiology; D012628:Dermatitis, Seborrheic / Q000150:complications / Q000209:etiology; D003882:Dermatomyositis / Q000150:complications / Q000209:etiology; D005141:Eyelid Diseases / Q000150:complications / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D007637:Keratoconjunctivitis / Q000150:complications; D007764:Lacquer / Q000009:adverse effects; D008297:Male; D008670:Metals / Q000009:adverse effects; D008875:Middle Aged; D011565:Psoriasis / Q000150:complications / Q000209:etiology; D012393:Rosacea / Q000150:complications / Q000209:etiology; D013203:Staphylococcal Infections / Q000150:complications
D000305:Adrenal Cortex Hormones; D003358:Cosmetics; D008670:Metals