A Case of Contact Dermatitis Induced by a Petroleum-Based Dry Cleaning Solvent
석유계 드라이클리닝 용제 접촉에 의한 접촉피부염 1예
김, 동훈; 김, 정은; 황, 의경; 정, 주양; 진, 현정; 김, 주희; 예, 영민; 박, 해심
Chʿŏnsik mit alrerugi, 31(4):295-299, 2011
Chʿŏnsik mit alrerugi; Journal of asthma, allergy and clinical immunology; Korean journal of asthma, allergy and clinical immunology; 천식 및 알레르기
Background:Petroleum-based solvents have been widely used for dry cleaning in Korea. Although there has been a few reports of irritant contact dermatitis induced by petroleum-based dry cleaning solvents, this is the first case of contact dermatitis with peripheral eosinophilia in Korea.
Case History:A 53 year old man had suffered from itching sensation, erythema and bullae in both arms. The onset time was 1 hour after wearing a jacket which had been dry cleaned the day earlier. The skin lesions were localized to the area in contact with the jacket, and the Nikolsky sign was seen. The patient had no history of previous allergic
Results:Serum total IgE levels, peripheral eosinophil counts, eosinophil cationic protein levels and liver function
test results (aspartate and alanine transaminase) were elevated. Histopathological examination of the skin biopsy
specimen showed epidermal necrosis with superficial perivenular lymphocytic and eosinophilic infiltration. He was
negative for the patch test with maximum 1% of the solvent used at that laundry, which was composed of paraffin and
naphten. Therefore, we thought that his skin lesion may be attributed to irritant reactions to this solvent.
Conslusion:We report herein a case of contact dermatitis induced by a petroleum-based dry cleaning solvent.
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