Contact dermatitis due to diethyl sebacate.
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An ornamental succulent plant sold in many plant stores in the Chicago area has been identified as Euphorbia hermentiana Lem. Open and closed patch testing using undiluted latex from this species was performed on five Caucasian volunteers. Open testing on flexor forearms resulted in irritant follicular dermatitis, while closed testing to the flexor surfaces of both upper arms in each subject produced bullae and vesiculation with residual desquamation and hyperpigmentation. Dermatological signs persisted for over a week following latex application.
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Five elderly patients with recurrent and progressive erythematous patchy dermatitis had temporary flares of generalized erythema and associated positive patch tests. The histopathologic findings were of a distinct pattern of lymphocytic dermal reticulosis and chronic epithelial response. We believe this represents a potential pre-Sézary state that can be recognized by the course and the histologic pattern.
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