Bacitracin: A Causative Agent of Purpuric Allergic Contact Dermatitis

Allergic contact dermatitis masquerading as retiform purpura

“…3 A paediatric patient developed purpuric ACD of the lower eyelids following bacitracin exposure. 4 Other cases of purpuric ACD reported in the literature have not manifested with features of retiform purpura. 5 Retiform purpura is a clinical pattern characterized by branching, non-blanching plaques with central necrosis.…”

“…ACD to Agave americana can present with purpuric plaques with features of vasculitis on histopathology, including leukocytoclasia and fibrin deposition 3 . A paediatric patient developed purpuric ACD of the lower eyelids following bacitracin exposure 4 . Other cases of purpuric ACD reported in the literature have not manifested with features of retiform purpura 5 …”