Table 3. Patch test results with components of Bazalin® cream (D4) salicylic acid 1% pet. stearyl alcohol 30% pet. cetyl alcohol 5% pet. thimerosal 0.1% pet. tar distillate 3.5% pet. propylene glycol 5% aq. Sorbithom TE 2% pet. Sorbithom SE 2% pet. citric acid 1% aq. liquid petrolatum as is •l Tested in the standard series. +++ Table 4. Patch test results with the components of Balneogel® solution (D4) fougere essence 2% pet. Iaury! ether sulphate 0.1, 1% aq. dragopin essence 2% pet. Chlorophile PLY hydrosoluble 1% aq. alantoin 0.5% aq. liquid sorbitol 10% aq. azulene 1% pet. riboflavine phosphate sodium 10% pet. Kathon CG 0.02% aq. methyl-4-hydroxy-benzoate 3% pet. IR IR ++ triethanolamine and Span 80. Patch test results (D4) with medicament components are shown in Tables 2-5. Results in 22 healthy volunteers were negative. DiscussionAllergic contact dermatitis due to plant extracts is welldocumented (1-3). Although reactions to lavender essence are not unusual, we have found only one report Contact Dermatitis 1993: 28: 187 Table 5. Patch test results with the components of Feparil® gel (D4) aescin (amorphous) 1% aq. aescin (amorphous) 2% aq. aescin (polysulfate) 1% aq. aescin (po1ysulfate) 2% aq. lavender essence 2% pet. neroli essence 2% pet. Carbopol940 10% aq. diethylamine salicylate 1%, 2% pet. + ++ ++ +++of Centella asiatica extract causing allergic contact dermatitis (4), and neither aescin nor dagopin essence have been reported previously.Aescin is a mixture oftriterpenoid glycosides obtained from the seeds of the horse chestnut tree, and is said to have anti-inflammatory properties. As for dragopin, we know only that it is obtained from the dragon tree. We believe that our patient has multiple sensitization to many allergens, including some unusual plant extracts in the topical medicaments used, rather than photodermatitis as suggested clinically.
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