Contact dermatitis around a tracheostoma due to salbutamol sulfate and Aldecin.
Contact dermatitis around a tracheostoma is quite rare. So far, there have been only 2 reports about this in medical literature. We, in this study, report herewith contact dermatitis in a 61-year-old Japanese man around a tracheostoma due to salbutamol sulfate and Aldecin. The patient used inhaled Sultanol and Aldecin for the treatment for allergic asthma. On examination, it was found that there was lichenified, exudative erythema with pigmentation around the tracheostoma. Patch testing with 1% aq. Sultanol and Aldecin revealed a positive reaction. Furthermore, patch testing for salbutamol sulfate 1% pet. also showed positive reaction. Although the contact allergen of our patient has not been fully determined (beclomethasone or other ingredients), this must be the first reported case of double contact dermatitis around a tracheostoma from salbutamol and Aldecin.
Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan. dtsuruta@med.osaka-cu.ac.jp
Daisuke
D
Tsuruta
Junko
J
Sowa
Hiromi
H
Kobayashi
Masamitsu
M
Ishii
D000420:Albuterol / Q000008:administration & dosage / Q000009:adverse effects*; D000485:Allergens / Q000008:administration & dosage / Q000009:adverse effects*; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001249:Asthma / Q000188:drug therapy; D001507:Beclomethasone / Q000008:administration & dosage / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010328:Patch Tests; D014139:Tracheostomy
D000485:Allergens; D018927:Anti-Asthmatic Agents; D001507:Beclomethasone; D000420:Albuterol