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LETTERS TO THE EDITOR
Year : 1998  |  Volume : 64  |  Issue : 2  |  Page : 105

Kerosene-induced acute irritant dermatitis


Department of Dermatology and STD, SMS Medical College, Jaipur, India

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Source of Support: None, Conflict of Interest: None


PMID: 20921732

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How to cite this article:
Kumar >, Gulati >, Kuldeep >M, Mathur D. Kerosene-induced acute irritant dermatitis. Indian J Dermatol Venereol Leprol 1998;64:105

How to cite this URL:
Kumar >, Gulati >, Kuldeep >M, Mathur D. Kerosene-induced acute irritant dermatitis. Indian J Dermatol Venereol Leprol [serial online] 1998 [cited 2020 Oct 25];64:105. Available from: https://www.ijdvl.com/text.asp?1998/64/2/105/4662



  To the Editor: Top


Kerosene is a widely used refined petroleum product. As true for all petroleum distillates, it is a known irritant. Frequently it is blamed for causing chronic irritant dermatitis[1]. However an acute irritant reaction to kerosene, as reported below, is a rare manifestation.

A 24-year-old male patient was referred to us from emergency outdoor. Examination revealed intense vesiculation and erythema over the lower abdomen, anterior thighs and genitalia. History of recent spilling of kerosene (12 hours earlier) over the affected area with intense burning sensation corroborated the clinical diagnosis of acute irritant dermatitis. Dramatic response was seen with ciprofloxacin 500 mg twice daily, cetirizine 10 mg daily and local clobetasol propionate gentamicin cream given for 10 days. Healing occurred with residual hyperpigmentation. Thereafter standard patch test with kerosene was negative.

Irritant dermatitis is caused by direct action of irritant through nonimmunologic mechanisms. Kerosene, by virtue of its fat dissolving property causes such reaction, However, rarity of acute irritant reaction with kerosene is not in accordance with its wide usage. Persons with atopic dermatitis have been shown to have increased susceptibility to develop chronic irritant dermatitis.[2] It is possible that similar factors play a critical role in development of acute irritant dermatitis with chemicals having low irritancy potential like kerosene. It may be equally possible to get such reaction due to impurities and adulteration of other organic substances in kerosene. Therefore, perhaps only those persons with some genetic predisposition develop overt manifestations. Further studies are recommended in this regard.

 
  References Top

1.Jee SH, Wang JD Sun CC, et al. Prevalence of probable kerosene dermatoses among ball-bearing factory workers. Scand J Work Environ Health 1986 ; 12 : 61-65.  Back to cited text no. 1    
2.Adams RM. Occupational dermatoses and disorders due to chemical agents, In: Dermatology in General Medicine 4th ed. Editors Fitzpotrick TB, Eisen AZ, Wolff K, et al. MC Graw Hill 1993;1767-1769.  Back to cited text no. 2    




 

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