Abstract
Silmazine$^{\circledR}$ cream is an antibiotic agent widely used in burn therapy. It consists of Propylene glycol, Stearyl alcohol, Isopropyl Myristate, Sorbitan mono-oleate, Methyl-p-hydroxybenzoate, Polyoxyl 40 stearate and varseline. A 24-yearold female presented with well-demarcated erythematous papules and vesicles with an itching sensation on the dorsal area of her right hand. She had applied Silmazine$^{\circledR}$ cream on the dorsal area of her right handfor 4 days and the skin lesion became aggravated. A patch test with Silmazine$^{\circledR}$ cream ‘as is’ showed a positive reaction and propylene glycol and stearyl alcohol, ingredients in Silmazine$^{\circledR}$ cream, revealed a positive reaction. These two agents are known as weak sensitizers that can produce allergic contact dermatitis. There are some reports of allergic contact dermatitis from propylene glycol and stearyl alcohol used topically. As far as we know, there are no reports of allergic contact dermatitis from propylene glycol and stearyl alcohol in the Silmazine$^{\circledR}$ cream (Silver sulfadiazine) that is commonly used as topical antibiotic medication for burns. We report this rare case of allergic contact dermatitis from propylene glycol and stearyl alcohol in Silmazine$^{\circledR}$ cream (Silver sulfadiazine).