Erythema multiforme-like eruption due to carbamates and thiuram.
Report of a case of erythema multiforme-like eruption due to the use of rubber gloves. After several complementary studies, including epicutaneous and skin prick tests, we concluded that the eruption was secondary to sensitization to carbamates and thiuram. The main differential diagnosis in this case was allergic contact dermatitis to latex in natural rubber gloves. This entity is less frequent than might be expected, because it is usually due to intermediate chemical compounds used in rubber manufacturing, such as vulcanization accelerators; among of these latter compounds are thiurams and carbamates. Erythema multiforme-like eruption is a rare manifestation of contact dermatitis. Several cases have been reported, most of which have been due to contact with plants, metals or topical non-steroidal anti-inflammatory drugs. Its mechanism is still unclear, but it seems to be a type IV hypersensitivity reaction.
Leis-Dosil
Vicente M
VM
Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. vmld_2000@yahoo.es
Campos-Domínguez
Minia
M
Zamberk-Majlis
Pamela E
PE
Suárez-Fernández
Ricardo M
RM
Lázaro-Ochaita
Pablo
P
D000328:Adult; D002219:Carbamates / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004892:Erythema Multiforme / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D017575:Gloves, Protective / Q000009:adverse effects*; D006801:Humans; D006968:Hypersensitivity, Delayed / Q000175:diagnosis / Q000209:etiology*; D007073:Immunoglobulin E / Q000276:immunology; D020315:Latex Hypersensitivity / Q000175:diagnosis*; D010328:Patch Tests; D013893:Thiram / Q000009:adverse effects*
D002219:Carbamates; D013893:Thiram; D007073:Immunoglobulin E