Erythema multiforme-like eruption in a 3-year-old boy

Neri, Iria; Loi, Camilla; Magnano, Michela; Vincenzi, Colombina; Plaça, M. La; Patrizi, Annalisa

doi:10.1136/archdischild-2015-310429

Cited by 7 publications

(4 citation statements)

References 2 publications

(3 reference statements)

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“…Tixocortol pivalate and budesonide are used as markers in the baseline series, but all topical preparations used by the child should be tested as well. Severe ACD from a budesonide-containing aerosol has recently been reported [24] and may even be caused by proxy [69].…”

Section: Topical Pharmaceutical Productsmentioning

confidence: 98%

“…-EEM-like eruptions mostly occurring with potent sensitizers or in case of severe contact dermatitis [1], such as with PPD in temporary tattoos [22], a more recent case having been described in 2014 [23], but also with many other allergens, such as plants (poison ivy, St John's wort), tea tree oil, disperse dyes, and mephenesin [1]. Two other recent cases concerned budesonide aerosol [24] and vitamin K 1 oxide [25]. -Lichenoid contact dermatitis has been caused by PPD in temporary tattoos as well [26], occasionally followed by depigmentation of the affected sites [1,22]; also nickel in TENS electrode plates caused leukoderma [27].…”

Section: The Clinical Picturementioning

confidence: 99%

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Contact Allergy in Children

Goossens

Morren

2020

Contact Dermatitis

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Contact allergy in children is more frequent than previously suspected. Metals, ingredients of pharmaceutical and cosmetic products, preservatives/biocides, para-phenylenediamine, rubber additives, plastics and resins, and plants are known sensitizers in them. In adolescents, occupation-induced allergens may be involved as well. Sometimes unusual clinical presentations of allergic contact dermatitis can be observed. If there is a suspicion by history and clinical picture, or there is an unexplained eczema at particular body sites, patch testing should be performed at all ages. Patch testing in children is safe, but false-positive (as false-negative) reactions are, of course, possible. Patch test reactions must be interpreted carefully, particularly in atopic subjects, since their skin is readily irritated; this is especially the case for metals. An abbreviated baseline series, supplemented with relevant allergens from other test series, as well as contacted products and respective ingredients suggested by the history, should be patch tested.

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Section: Topical Pharmaceutical Productsmentioning

confidence: 98%

Section: The Clinical Picturementioning

confidence: 99%

Contact Allergy in Children

Goossens

Morren

2020

Contact Dermatitis

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“…14 In addition, 1 patient was found to have a positive Mycoplasma pneumoniae IgM during their workup, which was thought by the authors to be noncontributory to their presentation. 22…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Of the 31 studies included in our review, 21 studies used the term "erythema multiforme-like allergic contact dermatitis," [11][12][13][14][15][17][18][19]21,22,[24][25][26][27][28]30,33,36,37,39,40 9 studies used the term "erythema multiforme following allergic contact dermatitis," 16,20,23,29,31,32,34,35,38 and 1 study used the term "contact erythema multiforme" (CEM) 41 to denote the patient's diagnosis.…”

Section: Final Diagnosismentioning

confidence: 99%

The Association Between Allergic Contact Dermatitis and Erythema Multiforme: A Systematic Review of the Literature

et al. 2021

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The relationship between erythema multiforme (EM) and allergic contact dermatitis (ACD) remains unclear. There have been multiple reports of EM-like lesions occurring in conjunction with or presenting after ACD; however, various definitions and terminologies have been used to denote the patient's diagnosis in these cases. In this systematic review, we summarize the key presenting features of recent cases of EM-like eruptions associated with ACD, as well as diagnostic findings, responsible allergens, treatments, and outcomes. We propose that, whenever possible, these cases should be classified into 2 distinct categories: (1) EM-like ACD and (2) EM after ACD (ACD-induced EM). Because the clinical courses, potential complications, and treatment plans differ between the two, a critical need exists for further characterization and distinguishment of EM-like ACD and ACD-induced EM.

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Contact Allergy to Topical Drugs

Goossens¹,

Gonçalo²

2020

Contact Dermatitis

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Erythema multiforme-like eruption in a 3-year-old boy

Cited by 7 publications

References 2 publications

Contact Allergy in Children

Contact Allergy in Children

The Association Between Allergic Contact Dermatitis and Erythema Multiforme: A Systematic Review of the Literature

Contact Allergy to Topical Drugs

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