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Hernández-Fernández C, Mercader-García P, Silvestre Salvador J, Sánchez Pérez J, Fernández Redondo V, Miquel Miquel F, Ortiz de Frutos F, Gatica Ortega M, Mora Fernández V, Giménez Arnau A, Zaragoza Ninet V, González Pérez R, Sanz Sánchez T, Pastor Nieto M, Serra Baldrich E, Córdoba Guijarro S, Heras Mendaza F, Ruiz González I, Rodríguez Serna M, Hervella Garcés M, Gallego Descalzo M, García Doval I, Borrego Hernando L. Candidate allergens for inclusion in the Spanish Standard Series based on data from the Spanish Contact Dermatitis Registry. ACTAS DERMO-SIFILIOGRAFICAS 2021. [DOI: 10.1016/j.adengl.2021.07.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Hernández-Fernández CP, Mercader-García P, Silvestre Salvador JF, Sánchez Pérez J, Fernández Redondo V, Miquel Miquel FJ, Ortiz de Frutos FJ, Gatica Ortega ME, Mora Fernández V, Giménez Arnau AM, Zaragoza Ninet V, González Pérez R, Sanz Sánchez T, Pastor Nieto MA, Serra Baldrich E, Córdoba Guijarro S, Heras Mendaza F, Ruiz González I, Rodríguez Serna M, Hervella Garcés M, Gallego Descalzo MÁ, García Doval I, Borrego Hernando L. Candidate Allergens for Inclusion in the Spanish Standard Series Based on Data from the Spanish Contact Dermatitis Registry. ACTAS DERMO-SIFILIOGRAFICAS 2021; 112:S0001-7310(21)00192-7. [PMID: 34029518 DOI: 10.1016/j.ad.2021.05.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 05/03/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Standard patch test series must be updated using objective data on allergen sensitization. The Spanish standard series was last updated in 2016 and the European series in 2019, and the inclusion of several emerging allergens needs to be evaluated. MATERIAL AND METHODS We conducted a prospective, observational, multicenter study of consecutive patients from the registry of the Spanish Contact Dermatitis and Skin Allergy Research Group (GEIDAC) who were patch tested in 2019 and 2020 with linalool hydroperoxide, limonene hydroperoxide, 2-hydroxyethyl-methacrylate, benzisothiazolinone, octylisothiazolinone, textile dye mix (TDM), sodium metabisulfite, propolis, bronopol, Compositae mix II, diazolidinyl urea, imidazolidinyl urea, decyl glucoside, and lauryl glucoside. RESULTS We analyzed data for 4654 patients tested with diazolidinyl urea, imidazolidinyl urea, and bronopol, and 1890 tested with the other allergens. The values for the MOAHLFA index components were 30% for male, 18% for occupational dermatitis, 15% for atopic dermatitis, 29% for hand, 6.5% for leg, 23% for face, and 68% for age > 40 years. Sensitization rates above 1% were observed for 7 allergens: linalool hydroperoxide, 2-hydroxyethyl-methacrylate, benzisothiazolinone, limonene hydroperoxide, TDM, sodium metabisulfite, and propolis. Three allergens had a current relevance rate of over 1%: linalool hydroperoxide, 2-hydroxyethyl-methacrylat, and limonene hydroperoxide. Benzisothiazolinone and TDM had a relevance rate of between 0.9% and 1%. CONCLUSIONS Our results indicate that 7 new allergens should be considered when extending the Spanish standard patch test series. The data from our series could be helpful for guiding the next extension of the European baseline series.
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Affiliation(s)
- Carlos Pelayo Hernández-Fernández
- Servicio de Dermatología. Hospital Universitario de Gran Canaria Doctor Negrín. Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
| | - Pedro Mercader-García
- Servicio de Dermatología. Hospital General Universitario Jose Mª Morales Meseguer, Murcia, España
| | | | | | - Virginia Fernández Redondo
- Servicio de Dermatología. Complejo Hospitalario Universitario de Santiago. Universidad de Santiago de Compostela, Santiago de Compostela, España
| | | | | | | | | | - Ana María Giménez Arnau
- Servicio de Dermatología. Hospital del Mar. Instituto Municipal de Asistencia Sanitaria, Barcelona, España
| | | | - Ricardo González Pérez
- Servicio de Dermatología. Hospital Universitario Araba. Universidad del País Vasco, Vitoria, España
| | | | | | | | | | - Felipe Heras Mendaza
- Servicio de Dermatología. Hospital Universitario Fundación Jiménez Díaz, Madrid, España
| | | | | | | | | | | | - Leopoldo Borrego Hernando
- Servicio de Dermatología. Hospital Universitario Insular de Gran Canaria. Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España.
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