Blue jean button dermatitis Nickel allergy presenting as a periumbilical rash

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Abstract: A 7-year-old girl was seen because of a 2-month history of an expanding patch of pruritus and scaling just below her umbilicus (figure 1). The patient also complained of a generalized rash on her arms and legs that had been present for 10 days. Physical examination revealed a 5-cm scaling, excoriated, and lichenified papulovesicular rash on her abdomen inferior to her umbilicus. A fine papular rash was seen on her arms and legs. The patient often wore “button fly” jeans in which the rivet behind the top metal button contacted her skin at the site of the abdominal rash. She had previously experienced a rash on both earlobes after wearing costume earrings.

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