{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:25:40Z","timestamp":1773948340722,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p>Allergic contact dermatitis commonly affects patients with chronic venous leg ulcers and can contribute to impaired wound healing. Many allergens have been identified, and despite the use of advanced dressings, the incidence of allergy has remained high. We discuss an unusual presentation of allergic contact dermatitis in a patient with a chronic wound. The patient's history was consistent with a recurrent venous leg ulcer, but on this occasion, the wound continued to deteriorate despite optimal treatment. This prompted further investigation, which included patch testing. Although the clinical features were not suggestive of allergy, the patch test was positive for several allergens, including Atrauman<jats:sup>\u00ae<\/jats:sup> dressings, which the patient was using at the time. This case highlights the importance of regular reassessment and accurate diagnosis for the management of chronic wounds. It also demonstrates that allergic contact dermatitis can contribute to delayed wound healing without causing the classical clinical features of inflammation of the surrounding skin, and even hypoallergenic, non\u2010adherent dressings can be sensitising.<\/jats:p>","DOI":"10.1111\/iwj.12908","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T10:16:08Z","timestamp":1522404968000},"page":"645-648","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An unusual presentation of a common condition: Allergic contact dermatitis"],"prefix":"10.1111","volume":"15","author":[{"given":"Annie","family":"Price","sequence":"first","affiliation":[{"name":"Wound Healing Research Unit Cardiff University  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie M","family":"Stone","sequence":"additional","affiliation":[{"name":"Dermatology Department Aneurin Bevan University Health Board  Newport UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith G","family":"Harding","sequence":"additional","affiliation":[{"name":"Wound Healing Research Unit Cardiff University  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.1995.tb00842.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1447-056X-10-6"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1988.tb00663.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1991.tb00368.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0536.2003.00111.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2009.01541.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12442"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12763"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12307"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2009.00009"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2016.25.Sup9.S23"},{"key":"e_1_2_5_13_1","unstructured":"Scottish Intercollegiate Guidelines Network. Management of chronic venous leg ulcers. [Internet].2010.http:\/\/www.sign.ac.uk\/sign\u2010120\u2010management\u2010of\u2010chronic\u2010venous\u2010leg\u2010ulcers.html. 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