Irritant contact dermatitis secondary to fiberglass: an unusual presentation

Chen, JY Phillips, R Lewis, AT Quan, LT Hsu, S

Jy. Chen et al., Irritant contact dermatitis secondary to fiberglass: an unusual presentation, INT J DERM, 39(5), 2000, pp. 372-374

21

INGLESE

Article

Dermatology

INTERNATIONAL JOURNAL OF DERMATOLOGY

0011-9059 → ACNP

39

5

2000

372 - 374

ISI

0011-9059(200005)39:5<372:ICDSTF>2.0.ZU;2-F

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.