Contact dermatitis due to honeybee royal jelly

Abstract
A woman who ingested honeybee royal jelly as a nutrient showed an exacerbation of dermatitis when the jelly was aplied to her feet. A topical fungicide also aggravated her skin lesions. Patch testing showed positive reactions to the royal jelly, pyrrolnitrin in the fungicide and urushiol. Positive reactions to the royal jelly were found in 2 of 10 controls, 1 of whom was sensitive to propolis.