{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:17:10Z","timestamp":1784557030935,"version":"3.55.0"},"reference-count":10,"publisher":"Bioscientifica","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["edm.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>We report a case of catamenial erythema multiforme major in a 46-year-old female. She was treated successfully with goserelin, a GnRH agonist, until the expected age of menopause; however, its therapeutic effects persisted for longer than expected, possibly due to accumulation in adipose tissue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Learning points<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A group of menstrual cycle-related dermatoses and hypersensitivity syndromes exist but are rarely reported in the literature.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>A history of recurrent cutaneous eruptions in premenopausal females should be considered in the context of the menstrual cycle.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>The diagnosis of menstrual cycle-related dermatoses is largely clinical, although provocation testing can assist.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Treatment options are broad and are aimed at reducing the immune response and\/or suppressing ovulation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Goserelin may accumulate and have a gonadotrophin-suppressing effect for longer than expected.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1530\/edm-23-0030","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T05:23:57Z","timestamp":1700717037000},"update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-2","source":"Crossref","is-referenced-by-count":0,"title":["A case of catamenial erythema multiforme major successfully treated with goserelin"],"prefix":"10.1530","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9326-2235","authenticated-orcid":true,"given":"Lauren T","family":"Tyack","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn G A","family":"Stuckey","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"},{"name":"Keogh Institute for Medical Research, Nedlands, WA, Australia"},{"name":"Medical School, University of Western Australia, Nedlands, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"},{"name":"Medical School, University of Western Australia, Nedlands, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Clinical and Experimental Dermatology","first-page":"111","article-title":"The menstrual cycle and the skin","volume":"40","author":"Raghunath","year":"2015","unstructured":"Raghunath RSVenables ZC & Millington GW. The menstrual cycle and the skin. Clinical and Experimental Dermatology201540111\u2013115. (https:\/\/doi.org\/10.1111\/ced.12588)"},{"key":"bib2","series-title":"International Journal of Women\u2019s Dermatology","first-page":"361","article-title":"Catamenial dermatoses associated with autoimmune, inflammatory, and systemic diseases: a systematic review","volume":"5","author":"Zachary","year":"2019","unstructured":"Zachary CFackler NJuhasz MPham C & Mesinkovska NA. Catamenial dermatoses associated with autoimmune, inflammatory, and systemic diseases: a systematic review. International Journal of Women\u2019s Dermatology20195361\u2013367. (https:\/\/doi.org\/10.1016\/j.ijwd.2019.09.008)"},{"key":"bib3","series-title":"International Journal of Dermatology","first-page":"889","article-title":"Clinical features, diagnosis and treatment of erythema multiforme: a review for the practicing dermatologist","volume":"51","author":"Sokumbi","year":"2012","unstructured":"Sokumbi O & Wetter DA. Clinical features, diagnosis and treatment of erythema multiforme: a review for the practicing dermatologist. International Journal of Dermatology201251889\u2013902. (https:\/\/doi.org\/10.1111\/j.1365-4632.2011.05348.x)"},{"key":"bib4","series-title":"Annals of Allergy, Asthma and Immunology","first-page":"140","article-title":"Cyclical hypersensitivity, anaphylaxis, and related hormonal reaction","volume":"122","author":"Lavery","year":"2019","unstructured":"Lavery WJ & Bernstein JA. Cyclical hypersensitivity, anaphylaxis, and related hormonal reaction. Annals of Allergy, Asthma and Immunology2019122140\u2013147. (https:\/\/doi.org\/10.1016\/j.anai.2018.11.016)"},{"key":"bib5","series-title":"Journal of Allergy and Clinical Immunology. In Practice","first-page":"566","article-title":"Progestogen hypersensitivity: heterogenous manifestations with a common trigger","volume":"5","author":"Buchheit","year":"2017","unstructured":"Buchheit KM & Bernstein JA. Progestogen hypersensitivity: heterogenous manifestations with a common trigger. Journal of Allergy and Clinical Immunology. In Practice20175566\u2013574. (https:\/\/doi.org\/10.1016\/j.jaip.2017.01.019)"},{"key":"bib6","series-title":"Internal Medical Journal","first-page":"26","article-title":"A case of catamenial anaphylaxis","volume":"45","author":"Klinken","year":"2015","unstructured":"Klinken EStuckey B & McLean-Tooke A. A case of catamenial anaphylaxis. Internal Medical Journal20154526\u201330."},{"key":"bib7","series-title":"Clinical and Experimental Dermatology","first-page":"509","article-title":"Catamenial dermatoses: has anyone ever considered prostaglandins?","volume":"39","author":"Verdolini","year":"2014","unstructured":"Verdolini RAtkar RClayton NHasan R & Stefanato CM. Catamenial dermatoses: has anyone ever considered prostaglandins?Clinical and Experimental Dermatology201439509\u2013512. (https:\/\/doi.org\/10.1111\/ced.12333)"},{"key":"bib8","series-title":"Medical Journal of Australia","first-page":"415","article-title":"Anaphylactoid reactions associated with menstruation affecting two sisters","volume":"175","author":"Simpson","year":"2001","unstructured":"Simpson GRoomes D & Humphrey MD. Anaphylactoid reactions associated with menstruation affecting two sisters. Medical Journal of Australia2001175415\u2013417. (https:\/\/doi.org\/10.5694\/j.1326-5377.2001.tb143647.x)."},{"key":"bib9","series-title":"Current Allergy and Asthma Reports","first-page":"4","article-title":"Progestogen sensitization: a unique female presentation of anaphylaxis","volume":"20","author":"Bernstein","year":"2020","unstructured":"Bernstein JA. Progestogen sensitization: a unique female presentation of anaphylaxis. Current Allergy and Asthma Reports2020204. (https:\/\/doi.org\/10.1007\/s11882-020-0900-4)"},{"key":"bib10","series-title":"Journal of the Royal Society of Medicine","first-page":"407","article-title":"Progesterone-induced erythema multiforme","volume":"78","author":"Wojnarowska","year":"1985","unstructured":"Wojnarowska FGreaves MWPeachey RDDrury PL & Besser GM. Progesterone-induced erythema multiforme. Journal of the Royal Society of Medicine198578407\u2013408. 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