desonide and Dermatitis--Allergic-Contact

Topics: Anti-Inflammatory Agents; Betacoronavirus; Coronavirus Infections; COVID-19; Dermatitis, Allergic Contact; Desonide; Facial Dermatoses; Female; Histamine H1 Antagonists, Non-Sedating; Humans; Isocyanates; Loratadine; Masks; Pandemics; Patch Tests; Pneumonia, Viral; SARS-CoV-2; Young Adult

Patch testing data indicate that the 5 most prevalent contact allergens out of more than 3700 that are known are: nickel (14.3% of patients tested), fragrance mix (14%), the topical antibiotic neomycin (11.6%), balsam of Peru (used in some perfumes, toiletries, and pharmaceutical items) (10.4%), and the mercury-based vaccine preservative thimerosal (10.4%).

Topics: Allergens; Child; Dermatitis, Allergic Contact; Desonide; Exanthema; Eyebrows; Female; Humans; Nickel; Treatment Outcome; Umbilicus

Fiddler's neck refers to an irritant contact dermatitis on the submandibular neck of violin and viola players and an allergic contact dermatitis to nickel from the bracket attaching the violin to the chin rest on the violinist's supraclavicular neck. A 26-year-old woman developed submandibular and supraclavicular left neck lesions corresponding to the locations of the chin rest and bracket that was attached to her violin that held it against her neck when she played. Substitution of a composite chin rest, which did not contain nickel, and the short-term application of a low potency topical corticosteroid cream, resulted in complete resolution of the allergic contact dermatitis supraclavicular neck lesion. The irritant contact dermatitis submandibular neck lesion persisted. In conclusion, violin players are predisposed to developing irritant contact dermatitis or allergic contact dermatitis from the chin rest. We respectfully suggest that the submandibular neck lesions from contact with the chin rest be referred to as 'fiddler's neck - type 1,' whereas the supraclavicular neck lesions resulting from contact of the bracket holding the chin rest in place be called 'fiddler's neck - type 2.' A composite chin rest should be considered in patients with a preceding history of allergic contact dermatitis to nickel.

Topics: Adult; Chin; Dermatitis, Allergic Contact; Dermatitis, Irritant; Dermatitis, Occupational; Dermatologic Agents; Desonide; Female; Humans; Music; Neck; Nickel; Skin Cream; Treatment Outcome

Topics: Anti-Inflammatory Agents; Attention Deficit and Disruptive Behavior Disorders; Central Nervous System Stimulants; Child; Dermatitis, Allergic Contact; Desonide; Female; Humans; Methylphenidate; Patch Tests

Topics: Administration, Topical; Adult; Aged; Budesonide; Cohort Studies; Cross Reactions; Dermatitis, Allergic Contact; Desonide; Drug Hypersensitivity; Female; Humans; Male; Middle Aged; Patch Tests; Sensitivity and Specificity

Topics: Administration, Topical; Anti-Inflammatory Agents; Dermatitis, Allergic Contact; Desonide; Drug Eruptions; Glucocorticoids; Humans; Male; Middle Aged; Preservatives, Pharmaceutical; Propyl Gallate