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parthenolide allergic contact dermatitis
ICD-10 Codes
Description
Symptoms and Characteristics
Parthenolide allergic contact dermatitis is a type of skin reaction that occurs when the immune system reacts to parthenolide, a sesquiterpene lactone found in the plant feverfew. The symptoms of this condition can vary from person to person but typically include:
- Redness and swelling of the affected area
- Itching and pruritus (intense itching)
- Fluid-filled blisters or vesicles
- Erythema (redness) of the skin
Causes and Triggers
Parthenolide allergic contact dermatitis can be caused by direct contact with parthenolide, either through touching the plant or using products that contain it. It can also occur via airborne particles, making it possible to develop an allergy even if you don't touch the plant directly.
Prevention and Treatment
The best way to avoid parthenolide allergic contact dermatitis is
Additional Characteristics
- Redness and swelling of the affected area
- Itching and pruritus (intense itching)
- Fluid-filled blisters or vesicles
- Erythema (redness) of the skin
Signs and Symptoms
Symptoms of Parthenolide Allergic Contact Dermatitis
Parthenolide allergic contact dermatitis can manifest in various ways, depending on the severity and duration of exposure to the allergen. The signs and symptoms range from mild to severe and may include:
- Erythema: Redness and inflammation of the skin at the site of contact with parthenolide [1].
- Scaling: Flaking or peeling of the skin, which can be accompanied by itching and discomfort [1].
- Edema: Swelling of the affected area, which can lead to blistering in severe cases [2].
- Erosions: Breakdown of the skin's surface, resulting in open sores or ulcers [3].
- Crusting: Formation of a crust or scab over the affected area, which can take several days to heal [4].
- Pruritus: Itching and discomfort are common symptoms of parthenolide allergic contact dermatitis, especially in chronic cases [5].
In severe cases, parthenolide allergic contact dermatitis can lead to more extensive skin reactions, including:
- Maculopapular rash: A widespread red rash with small bumps or papules [6].
- Oozing and crusting: The affected area may ooze fluid and form a crust as it heals [7].
It is essential to seek medical attention if you experience any of these symptoms, especially if they persist or worsen over time. Early diagnosis and treatment can help alleviate symptoms and prevent further complications.
References:
[1] Context result 1 [2] Context result 4 [3] Context result 6 [4] Context result 9 [5] Context result 7 [6] Context result 9 [7] Context result 9
Additional Symptoms
- Pruritus
- Erythema
- Scaling
- Erosions
- Crusting
- Oozing and crusting
- edema
- maculopapular rash
Diagnostic Tests
Based on the provided context, it appears that there are several diagnostic tests available to determine if someone has an allergy to parthenolide, which is a sesquiterpene lactone found in the plant feverfew.
- Patch testing is considered the gold standard for diagnosing allergic contact dermatitis (ACD), including parthenolide allergy. This test involves applying small amounts of potential allergens, such as parthenolide, to the skin and observing any reactions over a period of time [6][7].
- The T.R.U.E. TEST is a convenient, ready-to-use patch test for diagnosing ACD, including parthenolide allergy [7]. This test involves applying small patches containing potential allergens, such as parthenolide, to the skin and observing any reactions.
- Patch testing with parthenolide (0.5% pet.) has been shown to detect fewer cases of suspected parthenium dermatitis than patch testing with parthenium extract (1% aq.) [2][8].
- In some cases, exposure history, examination, and sometimes skin patch testing may be used to diagnose parthenolide allergy [9].
It's worth noting that the diagnosis of allergic contact dermatitis, including parthenolide allergy, is typically made by a healthcare professional based on a combination of these tests and other factors.
References: [1] Not available in context [2] Context #2 [3] Not available in context [4] Not available in context [5] Not available in context [6] Context #6 [7] Context #7 [8] Context #8 [9] Context #9
Additional Diagnostic Tests
- Patch testing
- T.R.U.E. TEST
- Patch testing with parthenolide (0.5% pet.)
- Exposure history, Examination, and sometimes skin patch testing
Treatment
Treatment Options for Parthenolide Allergic Contact Dermatitis
Parthenolide, a sesquiterpene lactone found in the plant feverfew, can cause allergic contact dermatitis (ACD) in some individuals. While there are no specific treatments mentioned in the search results, we can infer some potential treatment options based on general information about ACD and parthenolide.
- Avoidance of exposure: The most effective way to manage parthenolide-induced ACD is to avoid further contact with the allergen. This may involve avoiding areas where feverfew plants are grown or using protective measures when handling the plant.
Recommended Medications
- Avoidance of exposure
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis of Parthenolide Allergic Contact Dermatitis
Parthenolide-induced dermatitis should be considered in the differential diagnosis of contact dermatitis [1]. The diagnosis is typically made by exposure history, examination, and sometimes skin patch testing [2].
When considering a differential diagnosis for parthenolide allergic contact dermatitis, it's essential to rule out other conditions that may present similarly. Some of these conditions include:
- Atopic dermatitis: This condition can be associated with an increased incidence of contact dermatitis (CD), specifically, with increased frequency of reported reactions to allergens [6].
- Irritant contact dermatitis (ICD): ICD is a nonimmunologic reaction due to direct keratinocytic damage that can mimic allergic contact dermatitis (ACD) [8].
- Parthenium dermatitis: This is a distressing dermatitis caused by the airborne allergen of the Compositae weed Parthenium hysterophorus [5].
To accurately diagnose parthenolide allergic contact dermatitis, it's crucial to consider individualized approaches using patch test material. Unfortunately, we lack definitive patch test material for this condition [7].
In some cases, diagnosis may require an individualized approach using our own material, as the responsible allergens can vary widely among patients.
References:
[1] A Nanda · 2016 · Cited by 6 [2] [5] C Lakshmi · 2012 · Cited by 35 [6] L Fonacier · 2018 · Cited by 64 [7] [8] H Neale · 2021 · Cited by 43
Additional Differential Diagnoses
- Irritant contact dermatitis (ICD)
- atopic dermatitis 2
- dermatitis
Additional Information
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