Irritant contact dermatitis secondary to fiberglass: an unusual presentation

Citation
Jy. Chen et al., Irritant contact dermatitis secondary to fiberglass: an unusual presentation, INT J DERM, 39(5), 2000, pp. 372-374
Citations number
21
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Dermatology
Journal title
INTERNATIONAL JOURNAL OF DERMATOLOGY
ISSN journal
0011-9059 → ACNP
Volume
39
Issue
5
Year of publication
2000
Pages
372 - 374
Database
ISI
SICI code
0011-9059(200005)39:5<372:ICDSTF>2.0.ZU;2-F
Abstract
A 37-year-old white man presented with a 4-day history of an intensely prur itic eruption on both forearms. The symptoms began immediately after crawli ng over fiberglass insulation in his attic. The patient had been wearing lo ng pants and a short-sleeved shirt, exposing his forearms to the insulation . By the third day, pustules had begun to form on both arms. Physical exami nation revealed multiple erythematous pustules on both forearms Scrapings f rom a pustule dissolved in 10% potassium hydroxide revealed numerous rectan gular refractile crystals which were easily visualized under polarized ligh t (Fig. 2). A Gram stain of a pustule revealed numerous neutrophils and Gra m-positive cocci in clusters. The patient was diagnosed with fiberglass der matitis with secondary infection and was treated with a 14-day course of ce phalexin, 250 mg per os four times a day.