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Allergic contact cheilitis caused by carnauba wax in a lip balm
Author(s) -
Alrowaishdi Fuad,
Colomb Sophie,
Guillot Bernard,
RaisonPeyron Nadia
Publication year - 2013
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/cod.12108
Subject(s) - christian ministry , library science , art , philosophy , theology , computer science
A 33-year-old woman was referred to our clinic after suffering from desquamative cheilitis and perioral dermatitis for a few months. She had a history of atopic dermatitis and asthma during childhood, and allergic contact dermatitis caused by jewellery. Over a period of several months, the patient developed desquamative cheilitis with perioral dermatitis after she started using a lip balm for ‘cracked lips’. She had also applied lipsticks as make-up, but had stopped using them, without improvement of her symptoms. She was patch tested with the European baseline series, additional series containing propolis, a cosmetic series, and the individual components of fragrance mixes I and II, and her own lipsticks, lip balm, and toothpaste, tested ‘as is’ with 2 days occlusion with IQ ChambersTM. The patch tests read at D2 and D3 were positive only for nickel sulfate 5% pet. (++ at D2 and D3) and for the hypoallergenic lip balm ‘for cracked lips’ (Uriage®) tested ‘as is’ (1+ at D3). A repeated open application test was positive for the same lip balm within 7 days. Further patch testing with all of the ingredients of the lip balm, provided by the manufacturer, was performed. There was a positive reaction only to copernicia cerifera cera tested as is (Fig. 1). Patch testing in 10 control subjects gave negative results.