We report a patient with contact stomatitis due to combined sensitizat
ion to palladium and platinum. Patch testing showed strong and persist
ent allergic patch test reactions to palladium chloride (1% pet.), amm
onium tetrachloroplatinate (0.25% pet.), and a palladium metal plate.
A platinum metal plate showed a weaker reaction. Histological examinat
ion of a biopsy from the test site of palladium chloride (1% pet.) at
D3 showed both eczematous and lichenoid changes.