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Not quite a case history

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I know we're all supposed to follow a particular format for case histories,

but I haven't seen this woman yet. She just called to see if there was

anything I can do and I haven't got a clue. So, I'm not so much looking for

" the answer " as " the direction. " Can anyone make some suggestions as to

where I might look further to study this problem?

 

Female with history of contact dermatitis. Around 1971, she was exposed to

antibacterial soap at work and developed severe dermatitis wherever the soap

touched. Soon after that, she began to experience allergic reactions to

other substances, e.g., shampoo, conditioner.

 

Then, sometime in 1972, she developed an allergic reaction to direct

sunlight. That is, whenever she is in the sun, she develops itchy bumps on

all areas of exposed skin. The bumps are dry, not weepy. She doesn't

develop the bumps immediately, but several hours later.

 

Her physicians haven't got a clue, other than telling her to stay out of the

sun. She's got a graduation coming up in Texas and is afraid she's going to

boil.

 

All suggestions welcome, including " go fly a kite, you stupid git! "

 

Jeff (forever weak in dermatology)

_______________

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