A 11-year-old boy visited our division due to aggravation of skin rash on the face after applying Almeta® ointment. The patient had sharply defined edematous erythema from nasal to buccal region when he was examined. Patch test revealed positive reaction for alclometasone dipropionate, the active ingredient of Almeta® ointment. A diagnosis of contact dermatitis due to alclometasone dipropionate was made. Patch test for other steroids external preparations revealed positive reaction for dexamethasone propionate, budesonide, hydrocortisone butyrate, and hydrocortisone butyrate propionate. These results were considered as cross-reaction.
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