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Allergic Contact Dermatitis

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Book cover Vulvar Disease
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Abstract

Allergic contact dermatitis (ACD) is an inflammatory dermatosis resulting from Type IV, T cell-mediated delayed hypersensitivity reaction. ACD can present as both an acute and chronic. The most important step in the management of ACD is suspecting it may be present, in cases with previous reactions to topical medications, unexplained vulvar eczema, and vulvar eczema that doesn’t respond as expected to therapy. Patch testing is required to establish the diagnosis. Removing sources of potential allergens should be done. Mid- to high-potency corticosteroid should be applied. Once control has been achieved by corticosteroid application, a switch to topical pimecrolimus 1.0% and tacrolimus 0.1% may be considered. Allergic contact dermatitis to topical corticosteroids does also occur.

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References

  1. Farage M, Maibach H. Lifetime changes in the vulva and vagina. Arch Gynecol Obstet. 2006;273(4):195–202.

    Article  Google Scholar 

  2. Farage MA. Vulvar susceptibility to contact irritants and allergens: a review. Arch Gynecol Obstet. 2005;272(2):167–72.

    Article  Google Scholar 

  3. Farage MA, Maibach HI. Morphology and physiological changes of genital skin and mucosa. Curr Probl Dermatol. 2011;40:9–19. https://doi.org/10.1159/000321042.

    Article  CAS  PubMed  Google Scholar 

  4. Bauer A, Oehme S, Geier J. Contact sensitization in the anal and genital area. Curr Probl Dermatol. 2011;40:133–41. https://doi.org/10.1159/000321065.

    Article  CAS  PubMed  Google Scholar 

  5. Brasch J, Becker D, Aberer W, Bircher A, et al. S1-Guidelines of the German Contact Allergy Group (DKG) of the German Dermatology Society (DDG), the Information Network of Dermatological Clinics (IVDK), the German Society for Allergology and Clinical Immunology (DGAKI), the Working Group for Occupational and Environmental Dermatology (ABD) of the DDG, the Medical Association of German Allergologists (AeDA), the Professional Association of German Dermatologists (BVDD) and the DDG. Allergo J Int. 2014;23(4):126–38.

    Article  Google Scholar 

  6. Foote CA, Brady SP, Brady KL, Clark NS, Mercurio MG. Vulvar dermatitis from allergy to moist flushable wipes. J Low Genit Tract Dis. 2014;18(1):E16–8. https://doi.org/10.1097/LGT.0b013e31828e499f.

    Article  PubMed  Google Scholar 

  7. O’Gorman SM, Torgerson RR. Allergic contact dermatitis of the vulva. Dermatitis. 2013;24(2):64–72.

    Article  Google Scholar 

  8. Vermaat H, Smienk F, Rustemeyer T, Bruynzeel DP, Kirtschig G. Anogenital allergic contact dermatitis, the role of spices and flavour allergy. Contact Dermatitis. 2008;59(4):233–7. https://doi.org/10.1111/j.1600-0536.2008.01417.x.

    Article  CAS  PubMed  Google Scholar 

  9. Corazza M, Virgili A, Toni G, Minghetti S, Tiengo S, Borghi A. Level of use and safety of botanical products for itching vulvar dermatoses. Are patch tests useful? Contact Dermatitis. 2016;74(5):289–94. https://doi.org/10.1111/cod.12559.

    Article  PubMed  Google Scholar 

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Bohl, T. (2019). Allergic Contact Dermatitis. In: Bornstein, J. (eds) Vulvar Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-61621-6_18

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  • DOI: https://doi.org/10.1007/978-3-319-61621-6_18

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61620-9

  • Online ISBN: 978-3-319-61621-6

  • eBook Packages: MedicineMedicine (R0)

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