Authors: John Michael F. Dellariarte, MD; Shereen Reine S. Rodriguez, MD and Vermen M. Verallo-Rowell, MD, FPDS

Abstract

Allergic contact dermatitis (ACD) is a common dermatologic condition. ACD may present with a typical clinical presentations, requiring patch testing for diagnosis. A 77-year-old Filipino female presented with a 6 month-history of bilateral symmetrical pruritic scaly plaques on both feet diagnosed and treated as a case tinea pedis unresponsive to topical antifungal treatment. Patch test result was positive for Propolis. A positive patch test result to Propolis may be associated to ACD to varnish and wood in a patient with a history of exposure to bees. Patch test was key to diagnosis and successful conservative management.

Citation

Dellariarte, JM, Rodriguez, SR & Verallo-Rowel, V. (2017). Allergic contact dermatitis to propolis presenting as tinea pedis. Journal of the Philippine Dermatological Society, 26(1), 74-77.

Keywords

Allergic contact dermatitis, dermatitis, Propolis, tinea pedis

1. Encarnacion L, Verallo-Rowell V. PDS contact dermatitis. CPM 5th ed. 2005
2. Yi Zhi Lau, Melissa, Burgess, John Anthony, Nixon, Rosemary, Dharmage, Shyamali, Matheson, Melanie Claire. A review of the impact of occupational contact dermatitis on quality of life. Journal of Allergy. Dermatol. 2011
3. Boddie RL, Nickerson SC. Evaluation of postmilking teat germicides containing Lauricidin® saturated fatty acids and lactic acid. J Dairy Sci. 1992; 75:1725-1730.
4. Isaacs CE, Thormar H. The role of milk-derived antimicrobial lipids as antiviral and antibacterial agents. In: Mestecky J, et al, eds. Immunology of Milk and the Neonate. New York: Plenum Press, 1991.
5. Isaacs CE, Kashyap S, Heird WC, et al. Antiviral and antibacterial lipids in human milk and infant formula feeds. Arch Dis Child. 1990; 65:861-864.
6. Enig M. Lauric oils as antimicrobial agents: Theory of effect, scientific rationale, and dietary application as adjunct nutritional support for HIV infected individuals. In: Watson R, ed. Nutrients and Foods in AIDS. Boca Raton, FL: CRC Press, 1998.
7. Rouse MS, Rotger M, Piper KE, Steckelberg JM, Scholz M, Andrews J, Patel R. In vitro and in vivo evaluations of the activities of lauric acid monoester formulations against Staphylococcus aureus. Antimicrob. Agents Chemother. 2005; 49:3187- 3191.
8. Hay, RJ, and G. Shennan. 1982. Chronic dermatophyte infections. II. Antibody and cell-mediated immuneresponses. Br. J. Dermatol. 106:191-195.
9. Garrido F et al, Direct and airborne contact dermatitis from propolis in beekepers. PubMed. 2004; 50(5):320-1
10. Hausen BM, Wollenweber E, Senff H, Post B. Propolis allergy (I). Origin, properties, usage and literature review. Contact Dermatitis. 1987; 17:163-70.
11. Hausen BM, Wollenweber E, Senff H, Post B. Propolis allergy (II). The sensitizing properties of 1,1-dimethylallyl caffeic acid ester. Contact Dermatitis. 1987; 17:171-7.
12. Peterson HO. Hypersensitivity to propolis. Contact Dermatitis. 1977; 3:278-9.
13. Ting PT, Silver S. Allergic contact dermatitis to propolis. J Drugs Dermatol. 2004; 3:685-6.
14. Hausen BM, Wollenweber E, Senff H, Post B. Propolis allergy (I). Origin, properties, usage and literature review. Contact Dermatitis. 1987; 17:163-70.
15. Walgrave SE, Warshaw EM, Glesne LA. Allergic contact dermatitis from propolis. PubMed Dermatol. 2005; 16(4):209-15.
16. Propolis. Available at: http://www.gettingwell.com/drug_info/nmdrugprofiles/ nutsupdrugs/pro_0294.shtml (accessed April 1, 2005).
17. Dyall-Smith, Delwyn. (2014). Contact allergy to propolis. DermNet NZ. Available from: http://dermnetnz.org/dermatitis/propolis-allergy.html.
18. Propolis. Available at: http://www.gettingwell.com/drug_info/nmdrugprofiles/ nutsupdrugs/pro_0294.shtml (accessed April 1, 2005).
19. Hausen BM, Wollenweber E, Senff H. Propolis allergy. Origin, properties, usage and literature review. Contact Dermatitis. 1987; 17:163-170.
20. Lieberman HD, Fogelman JP, Ramsay DL, Cohen DE. Allergic contact dermatitis in a violin maker. J Am Acad Dermatol. 2002; 46:S30-S31. doi: 10.1067/ mjd.2002.106349.
21. Monti M, Benti E, Carminanti G, Cusini M. Occupational and cosmetic dermatitis from propolis. Contact Dermatitis. 1983; 9:163.
22. Hausen BM, Wollenweber E, Senff H. Propolis allergy. Origin, properties, usage and literature review. Contact Dermatitis. 1987; 17:163-170.
23. Machácková J. The incidence of allergy to propolis in 605 consecutive patients patch tested in Prague. Contact Dermatitis. 1988; 18:210-212.
24. Monti M, Benti E, Carminanti G, Cusini M. Occupational and cosmetic dermatitis from propolis. Contact Dermatitis. 1983; 9:163.
25. Downs AMR, Sansom JE. Occupation contact dermatitis due to propolis. Contact Dermatitis. 1998; 38:359-60.
26. Hausen BM, Evers P, Stuwe HT, et al. Propolis allergy (IV). Studies with further sensitizers from propolis and constituents common to propolis, poplar buds and balsam of Peru. Contact Dermatitis. 1992; 26:34-44.
27. Alfonsus E.C. (1933) Some sources of propolis, Glean. Bee Cult. 61:92-93.

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