Allergic contact dermatitis to propolis.
A 35-year-old Asian woman was referred to the dermatology clinic with a 2-week history of enlarging, fluid-filled, pruritic lesions on the right foot. The affected area had a recent history of minor trauma for which the patient applied an over-the-counter propolis ointment. At presentation, the patient was also noted to have been using the following, as prescribed by her primary care physician: valacyclovir, ciprofloxacin, terbinafine cream, mupirocin ointment, and 2% hydrocortisone cream. No clinical improvement was observed with these agents. Examination revealed grouped erythematous papules progressing into vesicles and bulla on the lateral side of the right foot. A KOH scraping was negative. We diagnosed the patient with allergic contact dermatitis to propolis.
Ting
Patricia T
PT
Faculty of Medicine, University of Calgary. pting@ucalgary.ca
Silver
Shane
S
D000279:Administration, Cutaneous; D000328:Adult; D000890:Anti-Infective Agents / Q000009:adverse effects; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D005533:Foot Dermatoses / Q000139:chemically induced / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D009824:Ointments; D008517:Phytotherapy / Q000009:adverse effects; D011429:Propolis / Q000009:adverse effects*; D012867:Skin / Q000293:injuries
D000890:Anti-Infective Agents; D009824:Ointments; D011429:Propolis