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To describe the incidence of allergic contact dermatitis in patients presenting with vulvar symptoms and to identify the most common allergens, investigators employed patch testing to a standard series and a gynecologic series. Ninety women with itching, burning, pain, or discharge in the vulvar area and a clinical suspicion of allergic contact dermatitis were tested.
The median number of patch tests applied per patient was 105. Of 90 patients, 62 had a positive result, and a relevant allergen was detected in 35. The most common relevant allergens detected by testing to the standard screen were fragrance, balsam of Peru, benzocaine, and quaternium 15. The top allergens detected in the gynecologic series were terconazole, benzoic acid, and pa…