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A Mouse Ear Model for Allergic Contact Dermatitis Evaluation
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Systemic contact dermatitis--kids and ketchup.

Elise M Herro1, Sharon E Jacob

  • 1Division of Dermatology, Rady Children's Hospital and University of California, San Diego, San Diego, California92123, USA. sjacob@contactderm.net

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Allergic contact dermatitis in children may improve with a diet low in balsam of Peru, particularly ketchup. Reducing this common food ingredient led to significant skin clearance in pediatric patients.

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Area of Science:

  • Dermatology
  • Allergology
  • Pediatrics

Background:

  • Systemic allergic contact dermatitis from balsam of Peru (Myroxylon pereirae) is increasingly recognized in children.
  • Dietary triggers are a significant factor in pediatric allergic conditions.

Observation:

  • Seven children with widespread, recalcitrant dermatitis were studied.
  • A high prevalence of ketchup consumption was noted in pediatric patients with dermatitis.

Findings:

  • Initiating a diet low in balsam of Peru, specifically excluding ketchup, resulted in 60-80% clearance of dermatitis.
  • This suggests a direct link between balsam of Peru in foods and severe skin reactions.

Implications:

  • Dietary modification, particularly reducing ketchup intake, can be an effective treatment for recalcitrant pediatric dermatitis.
  • Further research into balsam of Peru as a widespread allergen in pediatric dermatology is warranted.
  • Clinicians should consider dietary assessments for children with persistent, widespread dermatitis.