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Allergic Contact Cheilitis/Stomatitis Owing to Beverages and Food
TAKE-HOME MESSAGE
- This case report highlights the role of non-occupational allergens, particularly sulfites and cinnamon, in causing allergic contact cheilitis/stomatitis. Case 1 highlights data from an 81-year-old woman with recurrent lip swelling and erythema linked to sulfite sensitivity, confirmed through patch testing. The elimination of sparkling wine from the patient's diet led to symptom resolution. Case 2 details data regarding a 50-year-old woman with persistent aphthous lesions and eyelid swelling, eventually diagnosed with allergic contact stomatitis owing to cinnamon based on patch-test results. The patient showed symptom improvement after cinnamon avoidance.
- A thorough patient history analysis and patch testing are important for identifying contact allergens that could be contributing to treatment-resistant oral ulcers.
abstract
This abstract is available on the publisher's site.
Access this abstract nowAllergic contact dermatitis (ACD) from beverages and food should be included in the differential diagnosis of unexplained and persistent contact cheilitis/stomatitis.
Additional Info
Contact Dermatitis
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
Allergic contact cheilitis/stomatitis due to beverages and food, an underreported diagnosis
Contact Derm 2024 Nov 12;[EPub Ahead of Print], S Kerre, A GoossensFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
Cheilitis and stomatitis may have many causes, but allergic contact dermatitis should be included in the differential diagnosis. Reactions to foods, additives, and beverages can be the cause of cheilitis; therefore, food and drink preferences should be queried as part of the patient history. The authors report a positive reaction to sodium metabisulfite — the contact allergen of 2024. This allergen was found in a wine that the patient consumed, and discontinuation of the wine intake resulted in clearance of the dermatitis. Additionally, the authors report a case of stomatitis and eyelid dermatitis found to be secondary to the consumption of cinnamon on apples each morning after identifying cinnamic alcohol as an allergen. Discontinuation of this practice led to the resolution of the dermatitis.
This article reminds clinicians that, when questioning patients regarding exposures, we should also remember to inquire about food and beverage intake, as these exposures may be a cause of dermatitis — especially in cases of cheilitis and stomatitis. Patch testing may help identify the responsible allergens.