D1.304 - Occupational allergic contact dermatitis (Chronic hand eczema) to lily of the Incas and houseleek in a florist
Case report
Introduction
Occupational contact dermatitis (OCD) is the most frequent work-related cutaneous disorder. It can be divided into irritant contact dermatitis or allergic contact dermatitis. In most cases, the lesions appear on exposed parts of the body, especially the hands. Patch tests should always be performed.
Our aim was to present a case with occupational contact dermatitis in a florist.
Methods
A 46-year-old man, presented with a one-year history of hand eczema. The patient worked as a florist, and was exposed to different agents as well as flowers and plants. He reported improvement of the eczema during time off work and worsening when he handled certain plants. He’s been using topical steroids with a partial recovering.
The patient was patch tested with the standard European panels by TRUE test and with some of the plants he used to work with (Lily, Lily of the Incas, houseleek, ruscus, daisy, carnation and yew). Test sites were examined after 48 and 72 hours
Results
TRUE test Panels were negative and patch test to the above-mentioned plants were positive to lily of the Incas (+++) and houseleek (++). Figure 1.
Conclusion
We report a case of an occupational contact dermatitis to lily of the Incas and houseleek in a florist.
We recommended to avoid the manipulation of these plants or use gloves to avoid the direct contact. It is often needed to test products from the workplace.
