RT Book, Section
A1 Usatine, Richard P.
A1 Rahnama-Moghadam, Sahand
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164360039
T1 Contact Dermatitis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164360039
RD 2024/04/20
AB A  38-year-old  woman  twisted  her  right  ankle  and  applied  a  Chinese  medicine  patch  to  relieve  the  pain.  The  following  day  the  patient  developed  a  severe  contact  dermatitis  (CD)  with  many  small  vesicles  (5  mm)  (Figure  152-1).  The  erythema  had  a  well-demarcated  border  and  was  traced  by  the  doctor's  pen.  Cold  compresses  and  a  high-potency  topical  steroid  were  prescribed.  When  the  patient  showed  little  improvement,  a  2-week  course  of  oral  prednisone  was  given,  starting  with  60  mg  daily  and  tapering  down  to  5  mg  daily.  The  patient  responded  rapidly  and  the  CD  fully  resolved.1,2