Some women may develop a contact dermatitis secondary to a copper intrauterine device (IUD).


Clinical features:

(1) The patient is a woman with a copper IUD.

(2) The woman has a contact dermatitis.

(3) The woman may have a vaginitis and/or abdominal pain.

(4) The contact dermatitis may appear or get worse in the perimenstrual period.

(5) The woman has a history of copper sensitivity or a positive patch test to copper sulfate.

(6) An endometrial biopsy or Pap smear may show the presence of eosinophils.

(7) Symptoms resolve after removal of the copper IUD.


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