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Estrogen dermatitis is rare, but making the diagnosis is important to ensure that patients receive the correct treatment. We describe the successful use of the progestin-only pill in a case of estrogen dermatitis, which allowed our patient to discontinue long-term steroid therapy.

Report of a Case

A 38-year-old woman with a 20-year history of skin eruptions was referred to an allergy clinic. The first skin eruptions noted were on her lower legs and were diagnosed by biopsy as erythema multiforme (Figure). For the previous 14 years, the skin eruptions had been confined to blisters and ulcers around her mouth. Owing to the severity of these lesions she was prescribed high doses of oral steroids. More recently, the rash was noted to be associated with her menstrual cycle, and she commenced the high-dose steroid treatment on the first day of her menses. This resulted in some improvement in the eruptions. Further questioning established . . . [Full Text of this Article]

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AUTHOR INFORMATION
Katrina Randall, MB BS; Richard Steele, MB BCh

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