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Protein contact dermatitis is a disease primarily seen in food handlers. The usual presenting finding is hand dermatitis. It is triggered by an IgE-mediated food sensitization, so that after local exposure T cells are recruited and cause the dermatitis. The diagnosis is based on history, clinical features and demonstration of IgE-dependent sensitization, which can also cause contact urticaria and even contact anaphylaxis. We report a case of PCD in a butcher, who could continue his work due to adequate diagnosis and management.