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Severe Cutaneous Reactions to Self-Defense Sprays

A. Parneix-Spake, MD; A. Theisen, MD; J. C. Roujeau, MD; J. Revuz, MD
[+] Author Affiliations

Department of Dermatology Hôpital Henri Mondor University Paris XII 94010 Créteil Cedex, France


Arch Dermatol. 1993;129(7):913-913. doi:10.1001/archderm.1993.01680280103029
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To the Editor.—  We read with great interest the several articles on cutaneous manifestations of violence in the June 1992 issue of the Archives.1-6 We would like to draw the physician's attention to another aspect pertinent to dermatologists: the cutaneous reactions produced by orthochlorobenzylidene malononitrile used as riot control agent and in self-defense sprays.

Report of Cases.—  In the last 3 years, 11 patients were hospitalized in our department for a bullous dermatitis after they had been sprayed with this agent. Nine of 11 patients were men and almost half of them were homeless, having been involved in criminal behavior. In five cases, the patients had already been exposed to self-defense sprays. Clinically, they presented with an erythematous dermatitis localized on the areas directly exposed to the spray (face, neck, and hands) but also on other parts reached by the agent flowing along the body (shoulders and trunk). Their

REFERENCES

Momeni AZ, Enshaeih S, Meghdadi M, Amindjavaheri M.  Skin manifestations of mustard gas: a clinical study of 535 patients exposed to mustard gas . Arch Dermatol. 1992;;128:775-780.
Levine V, Sanchez M, Nestor M.  Localized vulvar pemphigoid in a child misdiagnosed as sexual abuse . Arch Dermatol. 1992;;128:804-806.
Saad RW, Domloge-Hultsch N, Yancey KB, Benson PM, James WD.  Childhood localized vulvar pemphigoid is a true variant of bullous pemphigoid . Arch Dermatol. 1992;;128:807-810.
Moy JA, Sanchez MR.  The cutaneous manifestations of violence and poverty . Arch Dermatol. 1992;;128:829-839.
Raimer SS, Raimer BG.  Family violence, child abuse, and anogenital warts . Arch Dermatol. 1992;;128:842-843.
Vorenberg E.  The consequences of insubstantiated accusations of child abuse . Arch Dermatol. 1992;;128:844-845.
Shmunes E, Taylor JS.  Industrial contact dermatitis . Arch Dermatol. 1973;;107;212-216.
Deitch EA.  The management of burns . NEngl J Med. 1990;;323;1249-1253.

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Momeni AZ, Enshaeih S, Meghdadi M, Amindjavaheri M.  Skin manifestations of mustard gas: a clinical study of 535 patients exposed to mustard gas . Arch Dermatol. 1992;;128:775-780.
Levine V, Sanchez M, Nestor M.  Localized vulvar pemphigoid in a child misdiagnosed as sexual abuse . Arch Dermatol. 1992;;128:804-806.
Saad RW, Domloge-Hultsch N, Yancey KB, Benson PM, James WD.  Childhood localized vulvar pemphigoid is a true variant of bullous pemphigoid . Arch Dermatol. 1992;;128:807-810.
Moy JA, Sanchez MR.  The cutaneous manifestations of violence and poverty . Arch Dermatol. 1992;;128:829-839.
Raimer SS, Raimer BG.  Family violence, child abuse, and anogenital warts . Arch Dermatol. 1992;;128:842-843.
Vorenberg E.  The consequences of insubstantiated accusations of child abuse . Arch Dermatol. 1992;;128:844-845.
Shmunes E, Taylor JS.  Industrial contact dermatitis . Arch Dermatol. 1973;;107;212-216.
Deitch EA.  The management of burns . NEngl J Med. 1990;;323;1249-1253.

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