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Recall dermatitis is a rare skin reaction that can occur after exposure to allergens or medications. This case highlights metronidazole as a potential trigger for recall dermatitis following both topical and oral use.

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Area of Science:

  • Dermatology
  • Pharmacology
  • Immunology

Background:

  • Recall dermatitis is an uncommon skin reaction.
  • It is associated with patch testing, repeated allergen exposure, and concurrent UV radiation and medication use.
  • Etiology of recall dermatitis from primary cutaneous and subsequent oral exposure is unknown.

Observation:

  • A case of recall dermatitis is presented.
  • The patient experienced a drug eruption secondary to metronidazole.
  • Metronidazole was initially used topically for rosacea, then orally for a gastrointestinal infection.

Findings:

  • Metronidazole exposure, both topical and oral, can precipitate recall dermatitis.
  • This case demonstrates a rare presentation of recall dermatitis.
  • The reaction occurred after sequential exposure routes.

Implications:

  • Clinicians should be aware of metronidazole's potential to cause recall dermatitis.
  • Consider recall dermatitis in patients with a history of metronidazole use presenting with skin eruptions.
  • Further research into the etiology of this phenomenon is warranted.