As our patientʼs rash closely coincided with the distribution of the reflective tape and subsequently improved upon restricting his exposure to the tape, possible causes included irritant contact dermatitis (ICD) or a lichenoid allergic contact dermatitis (ACD). Despite the interface dermatitis reaction pattern observed on histology, we favour the diagnosis of ICD to the reflective tape, based on his negative patch test result with cut-outs from the reflective tape of his shirt and the absence of the identified allergens in its composition. We hypothesize that excessive sweating and the occlusive nature of the tape may have been factors contributing to his reaction. An ongoing lichenoid ACD secondary to residual sodium metabisulfite or benzalkonium chloride in the tape seems less likely, particularly as disinfection measures involving those allergens could not be definitively confirmed. High-visibility reflective tape has only previously been implicated in the medical literature for causing first-degree burns of the mid-back, secondary to overheating in sunny conditions. 1 To our knowledge, this is the first report of high-visibility reflective tape potentially inducing ICD. Frank Po-Chao Chiu: Conceptualization (equal); data curation (equal); formal analysis (equal); investigation (equal); methodology (equal); project administration (equal); writingoriginal draft (equal); writingreview and editing (equal). rosemary nixon: Formal analysis (equal); investigation (equal); methodology (equal); supervision (equal); writingoriginal draft (equal); writingreview and editing (equal). Adriene Lee: Formal analysis (equal); investigation (equal); supervision (equal); writing review and editing (equal). Aaron Edward Boyce: Conceptualization (equal); data curation (equal); formal analysis (equal); investigation (equal); methodology (equal); resources (equal); supervision (equal); writingoriginal draft (equal); writingreview and editing (equal).

No abstract

Conjunctival swab sample using varicella-zoster virus antigen kit enables rapid diagnosis of herpes zoster ophthalmicus Conflict of interest: None declared. Funding sources: None declared.

No abstract

No abstract