Resident Rounds: Part III - Case Report: Betel Quid Induced Irritant Contact Dermatitis of the Hand
June 2016 | Volume 15 | Issue 6 | Features | 789 | Copyright © June 2016
Regine J. Mathieu BS,a Nikoo Cheraghi MD,b and Marian A. Russo MDb
aNew York Medical College, School of Medicine, Valhalla, NY
bNew York Medical College, Department of Dermatology, New York, NY
been previously reported.8 Eugenol, the major component of
betel leaf containing psychoactive ingredients, has also been
reported to cause allergic contact dermatitis.2,10 In our patient,
although patch testing was not performed, the clinical appearance
and distribution of the rash indicates a contact dermatitis
to a component of the betel quid, likely due to the irritating
alkaline slaked lime.
The practice of chewing betel nut mixed with slaked lime paste,
tobacco, and betel leaf is not common in the United States;
however, when faced with a patient with a non-correlating
history and physical exam, inquiry into cultural practices is imperative
for accurate diagnosis.
The authors have no conflicts of interest to declare.
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Nikoo Cheraghi MDnikoo.firstname.lastname@example.org