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Nipple Eczema — SCE Dermatology MCQ

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HardInflammatory DermatosesNipple EczemaSCE Dermatology

A chronic dermatitis worsens whenever hydrocortisone is applied and improves with an unrelated potent steroid. Patch testing is positive to tixocortol pivalate. What does this result primarily indicate?

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Correct answer: C — Allergy to the hydrocortisone corticosteroid group

Tixocortol pivalate is a screening marker for allergy to hydrocortisone-type corticosteroids. Cross-reaction patterns are imperfect, so the full corticosteroid series and the patient’s own products help identify a tolerated anti-inflammatory treatment rather than assuming allergy to every steroid.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines