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Occasionally, the clinical pattern can be very similar to that produced by the garlic clove (but in a bilateral and symmetric distribution).49 Workers who cut the flowers often show palm eczema.5055 Airborne dermatitis56 and post-inflammatory depigmentation have rarely been reported.57 False positive responses due to a primary irritant reactions may also occur.58 Patch testing Liliaceae and Alstroemeriaceae Patch testing with short ether extract of the leaves and petals as well as direct testing with them is not recommended because of the high risk of active sensitization.58 Since pure tulip allergen is not readily available, patch tests may be performed with outermost bulb scales, after removal of the brown skin