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Contact dermatitis from Hedera helix in a husband and wife

Contact dermatitis from Hedera helix in a husband and wife

Contact Dermatitis 46(2): 125-126

ISSN/ISBN: 0105-1873

PMID: 11918618

DOI: 10.1034/j.1600-0536.2002.460222.x

A 50-year-old man was admitted in April 1999 with severe eczema on the right upper limb and less florid involvement of the trunk (UK). His wife had simultaneously developed eczema on her trunk. 10 days prior to onset, the patient had scratched his right arm while cutting roses. He subsequently spent time pruning common ivy (H. helix) and his wife helped him to clear the trimmings. Four days later, the patient's right arm became itchy and exudative at the site of the scratch. A diagnosis of cellulitis was made and penicillin and flucloxacillin were prescribed. The patient felt well, and 3 days prior to admission, he completed pruning the plant and his wife assisted him again. Over the next 3 days, both husband and wife developed extensive eczema. On examination, an acute eczema with confluent erythematous vesicular and bullous lesions was noted on the right forearm, with less severe patchy involvement of the trunk. A linear streak of small vesicles was seen on the dorsum of the right hand. His wife showed less florid vesicular erythematous plaques on the forearm and trunk. Allergic phytodermatitis from common ivy was diagnosed. He was treated with potassium permanganate soaks and Betnovate C ointment (betamethasone valerate with clioquinol) with intravenous flucloxacillin and benzylpenicillin to control secondary infection. Once the crusting and secondary infection settled completely, Dermovate (clobetasol propionate) was started. The eczema settled completely and antibiotics were stopped in 5 days. He was weaned off topical corticoids over the next 2 weeks.

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Accession: 003692638

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