Article: Nonresponsive dermatitis? Suspect steroid allergy.(Allergic/Contact Dermatitis)

MONTREAL -- Contact allergy to corticosteroids is an increasingly recognized phenomenon that often takes increased clinical suspicion to diagnose.

"Reactions are often subtle, transient, and/or late in nature," according to Dr. Anita Pedvis-Leftick.

Patients can present with acute eczema or an immediate type 1 hypersensitivity re action, she said at the annual conference of the Canadian Dermatology Association. Suspect a corticosteroid allergy with long-standing, nonresponsive dermatitis.

Patch test with the North American Contact Dermatitis Group (NACDG) standard allergen series first, she said. This series detects up to 74% of positive ...

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