These findings confirm that the standard fragrance markers fail to identify patients with contact allergies to the 26 fragrances.

No abstract

The most important aspect of management in these cases is immediate withdrawal of the suspected agent, because small pustules in a localized patch may progress to a more generalized pustular rash. 5 Treatment is supportive, and because of the self-limiting nature of the disease, no specific treatments are usually needed. However, topical or systemic corticosteroids can be used to hasten resolution. 2 We discontinued enoxaparin for our patient, and prescribed topical corticosteroid (betamethasone) cream to be used twice daily. The pustules resolved rapidly over several days.In conclusion, we present a case of a woman with a cutaneous drug reaction consistent with ALEP that occurred after enoxaparin. This case highlights enoxaparin as a novel causative agent for this type of drug reaction.

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