A 48-year-old housewife reported with a vesicular dermatitis of the ring and small fingers of the right hand and patchy areas on the neck. It was of more than one year's duration.
The dermatitis began either around or under rings which she wears on the right hand. The fingers on the left hand are usually swollen. (She had a radical mastectomy five years ago, and the left hand and arm present a great deal of lymphedema.) Following shortly after the initiation of this dermatitis, vesicular patches appeared on the neck. The dermatitis was persistent. She was treated with a wide variety of topical applications, including hydrocortisone ointments; she was instructed to refrain from doing the usual soap-and-water chores of the home, because a soap-and-water or a detergent dermatitis was suspected. In spite of all this, the dermatitis persisted and as a matter of fact it gradually became more
HOLLANDER L. Contact Dermatitis Caused by Ammonia Water. AMA Arch Derm. 1957;76(1):105. doi:10.1001/archderm.1957.01550190109021
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