1/15. Allergic contact gingivostomatitis from a temporary crown made of methacrylates and epoxy diacrylates.Occupational allergic contact dermatitis caused by (meth)acrylates is common in dental personnel, whereas dental acrylic fillings and crowns have rarely been reported to cause problems in dental patients. Here we report on a 48-year-old woman who developed gingivitis, stomatitis, and perioral dermatitis after a temporary crown made of restorative, two-component material had been inserted. The manufacturer stated that the temporary crown base paste and catalyst contained three (meth)acrylates, namely, a proacrylate, which is a modification of 2,2-bis[4-(2-hydroxy-3-methacryloxypropoxy)phenyl]propane (BIS-GMA); a tricyclate, which is a saturated, aliphatic, tricyclic methacrylate; and urethane methacrylate. The manufacturer refused to give more exact information on the (meth)acrylates. Patch testing revealed that the patient was highly allergic to BIS-GMA, other epoxy diacrylates, and (meth)acrylates, as well as to the base paste and catalyst of the temporary crown. Accordingly, it was concluded that the allergic reaction was caused by BIS-GMA, or a cross-reacting (meth)acrylate, or other (meth)acrylates in the temporary crown.- - - - - - - - - - ranking = 1keywords = dermatitis, contact (Clic here for more details about this article) |
2/15. ectropion caused by periocular dermatitis.A 78-year-old woman had ectropion of both lower eyelids 4 weeks after the appearance of dermatitis around the eyes. Treatment with topical corticosteroids resulted in disappearance of both dermatitis and ectropion within 10 days. No relevant contact allergies were found. Her advanced age and a familial tendency toward edema around the eyes, indicating preexisting loss of elasticity, probably facilitated this apparently rare reaction.- - - - - - - - - - ranking = 2.9944837520122keywords = dermatitis, contact (Clic here for more details about this article) |
3/15. cheilitis caused by contact urticaria to mint flavoured toothpaste.A 26-year-old woman presented with a 12-month history of persistent dermatitis of the lips. She had failed to respond to cosmetic avoidance and therapeutic measures. Patch testing was negative, including her toothpaste and toothpaste flavours. She defied diagnosis until an acute flare followed immediately after dental treatment with a mint flavoured tooth cleaning powder. This led us to prick test her to mint leaves and this was positive. Her cheilitis settled after changing from her mint-flavoured toothpaste. A diagnosis of contact urticaria should be considered in cases of cheilitis of unknown cause.- - - - - - - - - - ranking = 0.50098504428354keywords = dermatitis, contact (Clic here for more details about this article) |
4/15. Multiple corticosteroid allergies.A case of vulval dermatitis and perioral dermatitis due to contact allergy to multiple class D corticosteroids, mometasone furoate and methylprednisolone aceponate is presented. Patch testing with commercially available corticosteroid creams is a simple and useful diagnostic test. Beware of delayed positive reaction, seen on day 8 of the repeat open application test on this patient.- - - - - - - - - - ranking = 0.99842392914634keywords = dermatitis, contact (Clic here for more details about this article) |
5/15. Childhood granulomatous periorificial dermatitis in an Asian girl--a variant of sarcoid?Childhood granulomatous periorificial dermatitis (CGPD) is a benign, facial eruption which has previously been reported in prepubertal, Afro-Caribbean children. It is a condition of unknown aetiology, characterized by a monomorphic, papular eruption around the mouth, nose and eyes. Typically the eruption persists for several months but resolves without scarring. The condition can usually be distinguished from sarcoidosis on clinical and histological grounds. To our knowledge, this is the first case of CGPD occurring in an Asian child with sarcoidal histology and is unusual in its persistence for 4 years. We suggest that this case of CGPD may well be a variant of sarcoid.- - - - - - - - - - ranking = 2.4950747785823keywords = dermatitis (Clic here for more details about this article) |
6/15. Extrafacial and generalized granulomatous periorificial dermatitis.BACKGROUND: Granulomatous periorificial dermatitis is a well-recognized entity presenting most commonly in prepubertal children as yellow-brown papules limited to the perioral, perinasal, and periocular regions. The condition is self-limiting and is not associated with systemic involvement. OBSERVATIONS: We reviewed the medical charts of 5 healthy children presenting with extrafacial granulomatous papules in addition to the typical periorificial papules. These extrafacial lesions were clinically and histologically identical to the facial lesions, were self-limiting, and were not associated with systemic involvement. Resolution seemed to be hastened with the use of systemic antibiotic therapy in 4 of the 5 patients. CONCLUSIONS: Extrafacial lesions can occur in granulomatous periorificial dermatitis and do not appear to adversely affect the duration, response to therapy, or risk of extracutaneous manifestations. Overly aggressive evaluation and inappropriate systemic therapy should be avoided.- - - - - - - - - - ranking = 2.9940897342988keywords = dermatitis (Clic here for more details about this article) |
7/15. rosacea-like demodicidosis in an immunocompromised child.Demodex folliculorum is a saprophytic mite of the human pilosebaceous unit. It is rarely found in children. It has been implicated in the development of follicular pityriasis, rosacea-like demodicidosis, pustular folliculitis, blepharitis, and granulomatous rosacea. We describe a 4-year-old boy who developed asymptomatic facial lesions that histologically corresponded to demodicidosis. He was in clinical remission of acute lymphoblastic leukemia and currently receiving maintenance chemotherapy. Exanthems related to D. folliculorum are rare in children. Most cases occur in immunocompromised patients and the clinical and histologic findings are diverse. A differential diagnosis should be established with rosacea and perioral dermatitis. The role of Demodex in the pathogenesis of these disorders is controversial. immunosuppression might increase the number of mites, favoring an inflammatory reaction, or there could exist an impaired cutaneous immunologic response to the parasites.- - - - - - - - - - ranking = 0.49901495571646keywords = dermatitis (Clic here for more details about this article) |
8/15. Orofacial reaction to methacrylates in dental materials: a clinical report.This clinical report presents an unusual response of acute gingivostomatitis caused by contact sensitivity to the methacrylate compounds present in a dental restorative material.- - - - - - - - - - ranking = 0.0003940177134156keywords = contact (Clic here for more details about this article) |
9/15. Granulomatous periorificial dermatitis.Granulomatous periorificial dermatitis (GPD) is a distinct facial eruption in prepubertal children that should be distinguished from granulomatous rosacea, perioral dermatitis, and cutaneous sarcoidosis. We describe a case of GPD and review the key distinguishing features of this condition.- - - - - - - - - - ranking = 2.9940897342988keywords = dermatitis (Clic here for more details about this article) |
10/15. A case of granulomatous rosacea: sorting granulomatous rosacea from other granulomatous diseases that affect the face.Granulomatous rosacea is a variant of rosacea that may present similar to other granulomatous diseases. We present the case of a 45-year-old woman with a 2-year history of facial erythema with multiple papules and pustules on the cheeks, chin, and glabella. The patient responded to minocycline, resulting in healing 6 months without residual scarring. This patient's clinical and histological presentation and treatment outcome are to our assessment consistent with granulomatous rosacea. However, other clinically and histologically related entities will be discussed. These entities include, but are not limited to, perioral dermatitis, granulomatous periorificial dermatitis, lupus miliaris disseminatus faciei, facial afro-caribbean eruption syndrome, and sarcoidosis.- - - - - - - - - - ranking = 0.99802991143292keywords = dermatitis (Clic here for more details about this article) |
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