title: Easter egg hunt dermatitis: systemic allergic contact dermatitis associated with chocolate ingestion.
abstract: Pediatric systemic allergic contact dermatitis to nickel has previously been reported in association with cocoa. We present four clinical cases of hypersensitivity temporally associated with chocolate consumption at Easter. Clinicians should be aware of the potential for foods high in nickel to provoke patients with known nickel sensitivity and systemic dermatitis.
authors.affiliation: Department of Dermatology, Loma Linda University, Loma Linda, California; Division of Dermatology, University of California at San Diego, La Jolla, California.
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Jacob
authors.forename: Dathan
authors.initials: D
authors.lastname: Hamann
authors.forename: Alina
authors.initials: A
authors.lastname: Goldenberg
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Connelly
mesh_terms: D002099:Cacao / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D017449:Dermatitis, Allergic Contact / Q000453:epidemiology* / Q000209:etiology* / Q000276:immunology; D005260:Female; D005512:Food Hypersensitivity / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D006693:Holidays; D006801:Humans; D007114:Immunization; D015994:Incidence; D008297:Male; D009532:Nickel; D010328:Patch Tests
chemical_list: D009532:Nickel