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CONTINUING PROFESSIONAL DEVELOPMENT
13. Oakley A. Allergic contact dermatitis. In: DermNet NZ. 1997.
14. Ngan V. Irritant contact dermatitis. In: DermNet NZ. 2016.
15. American College of Allergy, Asthma & Immunology.
Drug allergies. 2014. At: www.acaai.org/allergies/types/
16. Ernst E. Adverse effects of herbal drugs in dermatology. Br J
17. Thomson J, Lee A. Chapter 5: Drug-induced skin reactions.
In: Lee A, ed. Adverse Drug Reactions. 2nd edn. Glasgow :
Pharmaceutical Press; 2006.
18. Rawlin M. Exanthems and drug reactions. Aust Fam Phys
19. Segal AR, Doherty KM, Leggott J, et al. Cutaneous reactions
to drugs in children. Pediatrics 2007;120(4):1082–96 .
20. Australasian Society of Clinical Immunology and Allergy.
Information for patients, consumers and carers: Adverse
reactions to alternative medicines. 2010; At: www.allergy.
21. Oakley A. Compositae allergy. In: DermNet NZ. 2016. At:
22. National Center for Complementary and Integrative Health.
Echinacea. 2012. At: www.nccih.nih.gov/health/echinacea/
23. Rossi S, ed. Australian medicines handbook. Adelaide:
Australian Medicines Handbook; 2016. At: http://
1. In cases of folliculitis, which ONE
of the following would the patient
a) Wheal around the lesions.
b) Well-demarcated red lesions only in skin
c) Large blisters and dryness.
d) Tender spots with surface pustules.
2. A rash caused by the Compositae
family of plants may:
a) Be intensely itchy.
b) Appear several hours after exposure.
c) Also appear in people who have
experienced a rash with ragweed.
d) All of the above.
3. Patients with a Compositae family
allergy may experience an allergy to
a) Milk thistle.
d) Wild artichoke.
4. Regarding allergies to members of
the Compositae family, which ONE of
the following is CORRECT?
a) Allergies of this nature are more
commonly caused by ingested agents,
compared with topical agents.
b) Allergies of this nature are usually
transient in nature (i.e. not lifelong).
c) There is no trend between patients with
asthma or atopy, and an increased risk
of a Compositae allergy.
d) Management of such allergies involves
removal of the offending agent
and use of topical creams and oral
KEY LEARNING POINTS
There are various causes of a skin rash.
It can sometimes prove difficult to
ascertain the exact cause of the rash.
Pharmacists are well placed to elicit a
detailed patient history, and seek to
determine the most likely cause of skin
rashes, in order to provide appropriate
management advice. In this case, the
patient experienced an allergy to the
Compositae family, which presented
as generalised urticaria. In such
cases, the rash can be managed with
supportive measures (such as removal
of the offending agent, application of
emollients and topical corticosteroids,
and oral antihistamines) and patients
should be advised on what other
members of the Compositae family to
avoid in the future.
1. myDr. Urticaria (hives): self-care. 2009. At: www.
2. American Academy of Allergy Asthma & Immunology.
Skin allergy. 2016. At: www.aaaai.org/conditions-and-
3. NHS Choices. Atopic eczema – symptoms. 2014. At:
4. Grimm L. Which rashes to worry about: slideshow. In:
Medscape. At: http://reference.medscape.com/features/
5. NHS Choices. Insect bites and stings – symptoms. 2014. At:
6. Australasian Society of Clinical Immunology and Allergy
(ASCIA). Information for patients, consumers and carers:
Allergic reactions to bites and stings; 2015. At: www.allergy.
7. Mayo Clinic. Heat rash. 2015. At: www.mayoclinic.org/
8. DermNet NZ. Miliaria. 2016. At: www.dermnetnz.org/hair-
9. myDr. Heat rash or prickly heat. 2015. At: www.mydr.com.
10. Oakley A. Folliculitis. In: DermNet NZ. At: www.dermnetnz.
11. Satter EK. Folliculitis. In: Medscape. 2016. At: http://
12. Hogan DJ. Allergic contact dermatitis. In: Medscape. 2015.
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