case_images: PMC10701577_01
case_images: The patient presented with slightly hypopigmented, 1 to 15 mm mildly scaly, and focally excoriated, papules on the cheeks, postauricular area and back of the neck. These developed within 48 hours after applying black hair dye containing paraphenylenediamine. The dramatic erythema associated with contact dermatitis in light skinned patients is subtle in this patient with type V skin.
case_images: gr1.jpg
case_images: PMC10701577_01_gr1.jpg
case_images: fig1
case_images: Scaling, edematous, focally excoriated, hypopigmented, and slightly erythematous papules were present on the cheeks, postauricular areas, and back of the neck (Fig 1).