Journal of Clinical & Experimental Dermatology Research
Open Access

Lucky Luke sign: Clothing dermatitis in an adult

6^th International Conference on Clinical and Experimental Dermatology

May 04-06, 2016 Chicago, USA

Michael Isaacs

Indiana University School of Medicine, USA

Posters & Accepted Abstracts: J Clin Exp Dermatol Res

Abstract :

The â�?�?Lucky Lukeâ�? sign describes a bilateral holster shaped eczematous rash on the posterolateral hips and upper buttocks in infants secondary to an allergic contact dermatitis to rubber or dyes commonly found in diapers. However, the characteristic â�?�?Lucky Lukeâ�? distribution has never been previously described in adults. Here we present the first reported adult case of the â�?�?Lucky Lukeâ�? sign resulting from a contact dermatitis secondary to a clothing label. As this case highlights, the distribution of an eruption plays an important role in identifying the possible etiology at initial consultation. Predominant involvement of convex skin surfaces in combination with sparing of the concave surfaces provides clinical evidence suggestive of clothing contact dermatitis as is demonstrated in this patient. Furthermore, as this report demonstrates, an initial negative patch test should not divert a practitioner away from diagnosing contact dermatitis, but instead should lead a clinician to consider further patch testing if the overall clinical picture is still strongly suggestive of this diagnosis.

Biography :

Email: mjisaacs@iupui.edu