PMC9392485_01
Pesticide pyraclostrobin, Haisa (Qingdao, China, Active ingredient content: 30%; Suspending agent) having been sprayed on the patient's face (A). The patient is using his normal spraying equipment, in his normal protective equipment and clothing, spraying citrus (B).
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A 70-year-old male patient developed facial ICD due to pyraclostrobin, Haisa  (Qingdao, China) (Figure 1A) sprayed on citrus two days before treatment. The way of spraying is through the water pipe (Figure 1B).
Erythematous-edematous and scaly rash on the face (A) and front hairline scalp (B). The fourth day after intramuscular injection of compound betamethasone injection (C).
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At that time, he felt facial burning and tingling, and localized erythematous-edematous and scaly rash appeared on his face (Figure 2A) as well as front hairline scalp (Figure 2B). Fourth day after intramuscular injection of CBI, the patient's facial swelling and desquamation were significantly improved, and most of the erythema and papules disappeared. (Figure 2C) Complete improvement was observed without dermatitis recurrence at a 4-month follow-up.