Allergic contact cheilitis from a lipstick misdiagnosed as herpes labialis: Subsequent worsening due to Zovirax® contact allergy

Authors: Özkaya, Esen; Topkarcı, Zeynep; Özarmağan, Güzin

Source: Australasian Journal of Dermatology, Volume 48, Number 3, August 2007 , pp. 190-192(3)

Publisher: Blackwell Publishing

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Abstract:

SUMMARY

A 29-year-old Turkish woman with allergic contact cheilitis from a lipstick was misdiagnosed as herpes labialis and subsequently worsened with the application of Zovirax® cream. Patch tests were positive to Zovirax® cream, propylene glycol, the patient's favourite lipstick and propyl gallate. No reaction was seen with Zovirax® ophthalmic ointment and Zovirax® tablet. The propylene glycol component of the Zovirax® cream and the propyl gallate component of the lipstick were regarded as the responsible contact sensitizers. The differential diagnosis was challenging due to concomitant contact sensitization with these agents.

Keywords: eczema; herpes simplex; lip cosmetics; lip; patch test; propyl gallate; propylene glycol

Document Type: Research article

DOI: 10.1111/j.1440-0960.2007.00380.x

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