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Logo of annaldermaAnnals of DermatologyThis ArticleInformation for AuthorsOnline Submission
 
Ann Dermatol. Aug 2012; 24(3): 319–323.
Published online Jul 25, 2012. doi:  10.5021/ad.2012.24.3.319
PMCID: PMC3412241
Clinical Features of Systemic Contact Dermatitis Due to the Ingestion of Lacquer in the Province of Chungcheongnam-do
Jung Eun Kim, M.D., Sung Yul Lee, M.D.,corresponding author Jong Suk Lee, M.D., Young Lip Park, M.D., and Kyu Uang Whang, M.D.
Department of Dermatology, Soonchunhyang University College of Medicine, Cheonan, Korea.
corresponding authorCorresponding author.
Corresponding author: Sung Yul Lee, Department of Dermatology, Soonchunhyang University College of Medicine, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-721, Korea. Tel: 82-41-570-2270, Fax: 82-41-578-2270, dermsung/at/schmc.ac.kr
Received January 27, 2011; Revised September 30, 2011; Accepted October 1, 2011.
Abstract
Background
Lacquer contains an allergen, which can cause severe contact dermatitis. Systemic dermatitis resulting from the ingestion of lacquer is quite common in Korea, until now.
Objective
The purpose of this study is to elucidate the clinical features and laboratory findings of systemic contact dermatitis (SCD), due to the ingestion of lacquer in Chungcheongnam-do.
Methods
We retrospectively reviewed the medical records of 33 patients with SCD, after ingestion of lacquer from Soonchunhyang University Hospital in Cheonan, over a 6-month period.
Results
In this study, 33.3% of patients ate lacquer, as a health food, and some (15.2%) by encouragement of friends or spouse. The most common way of ingestion was the lacquer-boiled chicken (48.5%), but many also ate lacquer tree sprouts (42.4%). The skin lesions developed as erythematous maculopapular eruptions, erythema multiforme, erythroderma, purpura, wheals and vesicles. On laboratory findings, 13 patients (52%) exhibited leukocytosis and 11 patients had elevated eosinophil counts.
Conclusion
The general public is becoming more aware of the toxic effects of lacquer ingestion, but still does not fully understand the dangers of lacquer tree sprouts, and this ignorance is frequently causing SCD in Chungcheongnam-do.
Keywords: Chungcheongnam-do, Lacquer tree sprout, Systemic contact dermatitis
Articles from Annals of Dermatology are provided here courtesy of
Korean Dermatological Association and Korean Society for Investigative Dermatology