Systemic contact dermatitis from hydrocortisone

Torres, Vera; Tavares‐Bello, Rui; Melo, Helena; Soares, António Ferreira

doi:10.1111/j.1600-0536.1993.tb03501.x

Cited by 14 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Systemic contact dermatitis, with clinical presentations of dyshidrotic reaction, flare of eczema or patch test, erythema multiforme, vasculitis or generalized eruption, like the baboon syndrome (1-3), has been described mainly with metals (mercury, nickel, cobalt, chromium) (2, 4-7), antibiotics (ampicillin, penicillin, erythromycin, aminoglycosides, sulfonamides) (2,8,9) and, less frequently, with vitamin B 12 , thiamine, salicylate, phenothiazine, ethylenediamine, corticosteroids, balsam of Peru, cinnamic aldehyde, para-amino compounds, thiurams and others (1,3,(10)(11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%

Allergic contact dermatitis and systemic contact dermatitis from cinchocaine

et al. 1995

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Allergic contact dermatitis and systemic contact dermatitis from cinchocaine

et al. 1995

View full text Add to dashboard Cite

“…After oral administration, deterioration and spreading of the dermatitis to previously unaffected skin (48,49) and generalized maculopapular rashes have been seen (50,51). Provocations with hydrocortisone have given flare‐up reactions in areas of previous contact dermatitis and old patch test sites (52,53). No reports of corticosteroid‐containing enema resulting in systemic adverse effects have been published.…”

Section: Exposurementioning

confidence: 99%

Corticosteroids

Isaksson

2004

Dermatol Ther

View full text Add to dashboard Cite

Up to 5% of dermatitis patients are allergic to corticosteroids. Because such allergy may be difficult to suspect due to the anti-inflammatory action of the corticosteroid, markers for corticosteroid allergy should be present in any standard series. Budesonide and tixocortol pivalate are two such markers, and they seem to detect a majority of corticosteroid allergy. The patch test concentration for a given corticosteroid may be crucial. A false-negative reaction may follow despite the patient being allergic, if too high a test concentration is used, because of the anti-inflammatory action of the corticosteroid. Patch test readings must be performed not only on Day 3 or Day 4 but also on a late occasion, i.e., Day 7 after test application, also because the anti-inflammatory action may suppress an allergic reaction at an early reading. Once a patient has reacted to a corticosteroid, an extended corticosteroid series should be tested, so that information may be given on which corticosteroids to use and, above all, which corticosteroids to avoid.

show abstract

Drug Reactions

Breathnach¹

2004

Rook's Textbook of Dermatology

View full text Add to dashboard Cite

Systemic contact dermatitis from hydrocortisone

Cited by 14 publications

References 5 publications

Allergic contact dermatitis and systemic contact dermatitis from cinchocaine

Allergic contact dermatitis and systemic contact dermatitis from cinchocaine

Corticosteroids

Drug Reactions

Contact Info

Product

Resources

About