Blue jean button dermatitis - Nickel allergy presenting as a periumbilical rash

Title

Blue jean button dermatitis - Nickel allergy presenting as a periumbilical rash

Creator

Cerveny K A; Brodell R T

Publisher

Postgraduate Medicine

Date

2002
2002-11

Description

A 7-year-old girl was seen because of a 2-month history of an expanding patch of pruritus and scaling just below her umbilicus (figure 1). The patient also complained of a generalized rash on her arms and legs that had been present for 10 days. Physical examination revealed a 5-cm scaling, excoriated, and lichenified papulovesicular rash on her abdomen inferior to her umbilicus. A fine papular rash was seen on her arms and legs. The patient often wore "button fly" jeans in which the rivet behind the top metal button contacted her skin at the site of the abdominal rash. She had previously experienced a rash on both earlobes after wearing costume earrings. A presumptive diagnosis of allergic contact dermatitis from exposure to nickel was made. A patch test using nickel sulfate in petroleum elicited a strong papulovesicular reaction and confirmed the diagnosis. A dimethylglyoxime test of the rivet of her blue jeans was positive for nickel. The rivet and metal buttons were replaced with plastic buttons, and triamcinolone acetonide 0.1 % cream was applied twice daily. The condition promptly resolved and has not recurred.

Subject

General & Internal Medicine

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

79-+

Issue

5

Volume

112

Citation

Cerveny K A; Brodell R T, “Blue jean button dermatitis - Nickel allergy presenting as a periumbilical rash,” NEOMED Bibliography Database, accessed June 23, 2021, https://neomed.omeka.net/items/show/8832.

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