Allergic contact dermatitis revealed by pandemic
Case report
DOI:
https://doi.org/10.15448/1980-6108.2021.1.39591Keywords:
Dermatitis, Allergic Contact, Pandemic, Patch test, COVID-19Abstract
AIMS: Contact dermatitis is a non-infectious, preventable skin inflammatory disease that affects the quality of life of the individual, occurring after exposure to substances harmful to the skin. It can be allergic or irritating. It is the main cause of occupational skin disease. The Covid-19 pandemic affects people in different ways by messing with occupational and recreational paradigms. We aim to warn that important unapparent allergies can manifest themselves by the alteration of the individual routine transforming hobby into occupational activity due to the global epidemic caused by SARS-CoV-2.
CASE DESCRIPTION: We report a male case that developed eigth months ago, severe hand eczema after a habit change related to social isolation. He denied atopy. Clinically he presented marked dermatitis with hyperemia, cracks, erosions, in a pattern known as clamping. He, who exercised extradomic labor activity,
became a recluse changing his previous activity from leisure to occupational activity. A patch test, using the Latin American baseline series, showed a strong reaction in 48 and 96 hours for the bisphenol A epoxy resin.
CONCLUSION: We have shown that the Covid-19 pandemic, even indirectly, can reveal hidden allergies due to altered occupational activities performed by individuals.
Downloads
References
Nixon RL, Allnutt KJ, Diepgen TL. Contact Dermatitis. In: Burks AW, Holgate ST, O’Hehir RE, Bacharier LB, Broide DH, Hershey GK et al (editors). Middleton’s Allergy: Principles and Practice. 9th Edit. China: Elsevier; 2021. p. 553-61.
Veien NK. Clinical Features of Contact Dermatitis. In: Johansen J.D., Mahler V., Lepoittevin JP, Frosch PJ (eds). Contact Dermatitis. Cham: Springer International Publishing; 2021. p. 241–94. http://link.springer.com/10.1007/978-3-030-36335-2_15
McFadden J, Puangpet P, Pongpairoj K, Thaiwat S, Shan Xian Lee SX. Epoxy Resin. In: McFadden J, Puangpet P, Pongpairoj K, Thaiwat S, Shan Xian Lee SX (editors). Common Contact Allergens: A Practical Guide to Detecting Contact Dermatitis. London: John Wiley & Sons; 2020. p. 255-61. https://doi.org/10.1002/9781119405702.ch26
Majasuo S, Liippo J, Lammintausta K. Nonoccupational contact sensitization to epoxy resin of bisphenol A among general dermatology patients. Contact Dermatitis. 2012;66(3):148–53. https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0536.2011.01993.x
Brasil. Ministério da Saúde. Fundação Oswaldo Cruz (FIOCRUZ). Impactos sociais, econômicos, culturais e políticos da pandemia [Internet]. Fundação Oswaldo Cruz. Observatório COVID-19. Informação para ação. 2021 [cited 2021 Sep 13]. Available from: https://portal.fiocruz.br/impactos-sociais-economicos-culturais-epoliticos-da-pandemia
Gül Ü. COVID-19 and dermatology. Turk J Med Sci. 2020;50(8):1751–9. https://doi.org/10.3906/sag-2005-182
Nettis E, Angelini G. Practical Guide to Patch Testing. Cham: Springer International Publishing; 2020. https://doi.org/10.1007/978-3-030-33873-2
La Forgia M, Cannavo A, Fortunato L, Infante L, Kvitko E, Russo J. Sociedad Argentina de Dermatología. Consenso dermatitis por contacto. Actualización 2015 [Internet]. 2015 [cited 2021 Sep 13]. p. 1–30. Available from: https://sad.org.ar/wp-content/uploads/2019/10/CONSENSO-DERMATITIS-POR-CONTACTO-2015.pdf
Chessé CD, Abaca MC, Senarega A, Innocenti C, Bassoti A, Parra V. Epidemiología de la dermatitis alérgica de contacto en Mendoza: prevalencia de sensibilización a diferentes alérgenos y factores asociados. Dermatología Argentina [Internet]. 2019 [cited 2021 Sep 13] ;25(2):58–63. Available from: https://www.dermatolarg.org.ar/index.php/dermatolarg/article/view/1847
Aalto-Korte K, Pesonen M, Suuronen K. Occupational allergic contact dermatitis caused by epoxy chemicals: occupations, sensitizing products, and diagnosis. Contact Dermatitis. 2015 Dec;73(6):336–42. https://doi.org/10.1111/cod.12445
Bangsgaard N, Thyssen JP, Menné T, Andersen KE, Mortz CG, Paulsen E, et al. Contact allergy to epoxy resin: risk occupations and consequences. Contact Dermatitis. 2012;67(2):73–7. https://doi.org/10.1111/j.1600-0536.2012.02072.x
Rozas-Muñoz E, Gamé D, Serra-Baldrich E. Allergic contact dermatitis by anatomical regions: diagnostic clues. Actas Dermo-Sifiliográficas (English Ed). 2018;109(6):485–507. https://doi.org/10.1016/j.adengl.2018.05.016
Batista A. Tudo novo de novo? Editorial. Health Residencies Journal. 2020;1(7):1–2. https://doi.org/10.51723/hrj.v1i7.126
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Scientia Medica
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.