Occupational allergic contact dermatitis caused by colophonium

The new Italian SIDAPA Baseline Series for patch testing (2023): an update according to the new regulatory pathway for contact allergens

Allergic contact dermatitis (ACD) is a common inflammatory skin disease caused by delayed hypersensitivity to chemical and biotic contact allergens. ACD significantly affects the patients' quality of life negatively impacting both occupational and non-occupational settings. Patch testing is the gold standard diagnostic in vivo test to precise the ACD etiology and to correctly perform prevention. According to the Italian Medicines Agency (AIFA) legislative decree no. 178 of 29th May 1991, allergens are defined as medicines and therefore they are subject to strict regulation. In 2017, AIFA (decree no. 2130/2017) started a procedure to regulate contact allergens on the Italian market and actually the contact allergens temporarily authorized are reported in AIFA decree no. 98/2022, valid until November 2023. The availability on the market of contact allergens to diagnose ACD and continuous updating on the basis of new epidemiological trends are mandatory, jointly with the continuous update of the baseline and integrative series for patch testing. For this reason, the scientific community represented in Italy by the Skin Allergies Study Group of SIDeMaST (Italian Society of Dermatology and Venereology) and SIDAPA (Italian Society of Allergological, Occupational and Environmental Dermatology) are constantly working, in close relationship with the European scientific communities with large expertise in this important sector of the modern Dermatology. Herein, we report the setting up of regulatory legislation by AIFA and the new Italian Adult Baseline Series for patch testing.

Bees wax wraps-A novel source of colophonium allergic contact dermatitis

A patient with recurrent face and eyelid eczema after establishing an eco-friendly refill business, she was selling bees wax wraps as part of her business. This case raises awareness of bees wax wraps being a new potential eco-friendly source of colophonium allergic contact dermatitis.

The toxicity of 4-tert-butylphenol in early development of zebrafish: morphological abnormality, cardiotoxicity, and hypopigmentation

Endocrine disrupting effects of 4-tert-butylphenol (4-t-BP) are well described in literature. However, the evidence regarding developmental toxic effect of 4-t-BP is still vague. The present study used zebrafish as a model organism to investigate the toxic effect of 4-t-BP. The results showed that 4-t-BP exposure at 3, 6, and 12 μM induced developmental toxicity in zebrafish, such as reduced embryo hatchability and abnormality morphological. Flow cytometry analysis showed that 4-t-BP also induced intracellular ROS production. 4-t-BP induced changes in the expression of genes related to cardiac development and melanin synthesis, resulting in cardiotoxicity and hypopigmentation. 4-t-BP also caused oxidative stress, and initiated apoptosis through p53-bcl-2/bax-capase3 pathway. Integrative biomarker response analysis showed time- and dose-dependent effects of 4-t-BP on oxidative damage and developmental toxicity in zebrafish embryos. Overall, this study contributed to a comprehensive evaluation of the toxicity of 4-t-BP, and the findings provided new evidence for early warning of residues in aquatic environments.

Outbreak of Occupational Allergic Contact Dermatitis from a Smartphone Screen Protector Glue

Background

Sensitization to acrylates is a concern in the occupational/environmental dermatology field.

Objective

To describe an occupational allergic contact dermatitis (ACD) outbreak from a smartphone screen protector glue.

Methods

Thirteen affected workers of a chain store selling phone screen protectors were investigated in five Spanish dermatology departments. The glue datasheet and label were assessed. A chemical analysis of the glue was performed. Based on this, some patients underwent additional testing.

Results

All patients (all female, mean age: 25) had severe fingertip dermatitis.

The datasheet/label indicated that the glue contained isobornyl acrylate (IBOA), a “photoinitiator” and polyurethane oligomer. The company informed us that the ingredients were polyurethane acrylate, “methacrylate” (unspecified), acrylic acid, hydroxyethyl methacrylate, propylmethoxy siloxane, and photoinitiator 184. Isobornyl acrylate (or IBOA) and N,N‐dimethylacrylamide (DMAA) were patch tested in eight and two cases, respectively, with negative results.

A chemical analysis revealed 4‐acryloylmorpholine (ACMO); isobornyl methacrylate (IBMA), and lauryl acrylate in one glue sample. Seven patients were patch tested with dilutions of the identified substances and six of seven were positive for ACMO 0.5% pet.

Conclusion

An outbreak of occupational ACD, likely from ACMO in a glue is described. Further investigations are needed to corroborate the role played by each compound identified in the chemical analyses.

Effect of alternative litter materials on the behaviour of male broilers

The welfare of broilers is strongly dependent on the litter material because they spend their life in contact with it. The purpose of this study was to determine the effects of alternative litter materials on broiler behaviour. Two hundred eighty-eight 1-day old male broiler chicks were used. Chicks were placed in pens each having different litter material (Wood shavings (WS), paper waste sludge (PWS), sepiolite (S), the mix of 25% paper waste sludge & 75% sepiolite (25PWS+75 S), the mix of 50% paper waste sludge & 50% sepiolite (50PWS+50 S) and the mix of 75% paper waste sludge & 25% sepiolite (75PWS+25 S)). Broilers in the pens were recorded with a camera on the same day in a week during 6 weeks' trial. When total behaviour was assessed from 1 to 41 days of age, the percentage of sitting behaviour was the highest in the WS group and the percentage of resting behaviour was the lowest in the groups of S and WS. It can be suggested that PWS, which is a waste product, does not have a negative effect on natural behaviour and welfare of broilers and it can be used alone or mixed with S as a litter material.

Analysis of Prevalence and Risk Factors of Contact Sensitization with respect to the Occupational Profiles in a Greek Patient Cohort: A Retrospective Analysis of a Greek Referral Centre and Future Perspectives

Contact dermatitis is a frequent skin disorder related to environmental and occupational etiological factors, which could potentially affect all age groups, as well as both genders. The current study is aimed at exploring the patterns of contact sensitization with respect to the population's occupational patterns in Greece. A retrospective analysis was performed in a cohort of 1978 patients from 2014 to 2016. Patients were divided into two categories; blue collars (BlC) and white collars (WhC), as well as detailed occupation was considered. Separation was performed on the basis of their profession, i.e., labor workers and handicraftsmen were sorted to the BlC group, while office employees were sorted to the WhC group. The common allergen in all occupational subgroups was nickel sulphate. The three most prevalent allergens in both BlC and WhC were nickel sulphate 5%, fragrance mix (I) 8%, and Balsam of Peru 25%. WhC males were uniquely sensitized to colophony 20% and formaldehyde 2%, and WhC females were uniquely sensitized to 5-chloro-2-methyl-4-isothiazolin-3-one (CMIT) and neomycin sulphate 20%. Sensitization to allergens manifested occupation-specific patterns. Allergic contact dermatitis surveillance is of great importance towards the clinical and systematic understanding of the disease, especially with respect to the patient's occupational profile.

Occupational respiratory and skin diseases among workers exposed to metalworking fluids

PURPOSE OF REVIEW

To examine respiratory and skin diseases that occur among workers exposed to metalworking fluids (MWFs) used during machining processes.

RECENT FINDINGS

Five cases of a severe and previously unrecognized lung disease characterized by B-cell bronchiolitis and alveolar ductitis with emphysema (BADE) were identified among workers at a machining facility that used MWFs, although MWF exposure could not be confirmed as the etiology. In the United Kingdom, MWF is now the predominant cause of occupational hypersensitivity pneumonitis (HP). Under continuous conditions associated with respiratory disease outbreaks, over a working lifetime of 45 years, workers exposed to MWF at 0.1 mg/m3 are estimated to have a 45.3% risk of acquiring HP or occupational asthma under outbreak conditions and a 3.0% risk assuming outbreak conditions exist in 5% of MWF environments. In addition to respiratory outcomes, skin diseases such as allergic and irritant contact dermatitis persist as frequent causes of occupational disease following MWF exposure.

SUMMARY

Healthcare providers need to consider MWF exposure as a potential cause for work-related respiratory and skin diseases. Additional work is necessary to more definitively characterize any potential association between MWF exposures and BADE. Medical surveillance should be implemented for workers regularly exposed to MWF.

Floor Substrate Preferences of Chickens: A Meta-Analysis

Environmental enrichment promotes sensory and motor stimulation for species-typical behaviors, which in turn enhance animal well-being. For farmed Galliformes, housing systems often limit enrichment to bedding and litter, that simultaneously act as material for dustbathing and foraging. Therefore, this meta-analysis sought to systematically review and synthesize the substrate preference test literature for Galliformes. Data based on the following four welfare-related behaviors were extracted for analysis: (1) dustbathing, (2) foraging, (3) pecking, and (4) time spent on a given substrate. Literature searches in CAB Direct, Web of Science, and Google Scholar yielded 239 articles, and hand searching yielded an additional five articles. Ten publications that used different chicken strains as test subjects, met the criteria to be included in the systematic review. The effects of bedding type, the number of days birds had access to tested substrates, enclosure area, and substrate area, on the examined behaviors were determined. We found that birds preferred dustbathing in sand and peat moss more than on any other substrates. The bedding type, size of the enclosure, and size of the substrate area affected the amount of time that birds spent on the tested substrates. When provided the choice between bedding materials, birds spent more time on sand or peat moss than on any other substrate or on no substrate. Notably, most studies did not report relevant physical or chemical characteristics of substrate that may influence birds' preferences, such as grain size, moisture content and the level of soiling. Focusing future studies on identifying substrate characteristics that influence preferences can lead to the discovery of new, practical, enriching beddings that can be easily implemented in housing systems for Galliformes.

Broiler Chicks' Motivation for Different Wood Beddings and Amounts of Soiling

Simple Summary

Many animals move excreta—or feces—away from resting areas to avoid attracting predators and spreading disease. However, today’s farms raise broiler (meat) chickens in large barns with stocking densities that prevent the birds from segregating their excreta. Moreover, whether or not chickens would prefer to avoid their excreta is unknown. Understanding what litter conditions chickens prefer can help inform farming practices. Therefore, this experiment aimed to assess chicks’ motivation to access unsoiled bedding or soiled litter. We used six pens of six to seven broiler chicks—each pen divided into two compartments by a barrier containing two one-way push-doors. The ‘home’ compartment contained soiled wood shavings, while the ‘treatment’ (T) compartment contained either aspen wood shavings, pine and spruce wood shavings, soiled pine and spruce wood shavings, ammonia reductant treated soiled pine and spruce wood shavings, or a feed treatment as a gold standard. To determine the chicks’ motivation to access the resources, the door leading into T weighed 0% (lifted), 10%, 20%, or 30% of the chicks’ body weight. The combination of time spent in T, number of visits to T, and average maximum weight pushed to access T were used to measure motivation. Chicks showed equal motivation for all substrates and preferred feed over all substrates. However, future experiments must explore chicks’ preference and motivation over the long-term in commercial conditions.

Abstract

In the wild, excreta soiled surroundings can attract predators and spread disease. Yet, farmers rear broiler chicks in large barns with stocking densities that prevent excreta segregation. To measure chicks’ motivation to access unsoiled bedding or soiled litter (collectively, substrates) we used 40 16-day-old broiler chicks who were divided into six two-compartment pens. The ‘home’ compartment (H) contained soiled wood shavings, while the ‘treatment’ compartment (T) contained either aspen wood shavings, pine and spruce wood shavings, soiled pine and spruce wood shavings, ammonia reductant treated soiled pine and spruce wood shavings, or a feed treatment as a gold standard. The barrier separating the compartments had two one-way push-doors that chicks pushed to access a resource. The chicks’ motivation was measured by the average maximum weight pushed to access each resource. The door leading to T weighed 0% (raised), 10%, 20%, or 30% of the chicks’ body weight, and chicks could return to H via a raised (for 0%) or unweighted door. Our findings indicate that chicks worked hardest for feed, but paid a lower, equal price to access all substrates. With increasing door weight, chicks visited less and spent less time with the substrates. Therefore, as chicks themselves do not avoid litter that could have potential negative effects on their well-being, it is important that farmers diligently monitor litter conditions as their primary care-takers.

Contact Allergy-Emerging Allergens and Public Health Impact

Contact allergy (sensitisation) and allergic contact dermatitis (ACD) resulting from it have a considerable public health impact. For the present review, all pertinent articles were systematically searched via Medline and Web of Science™; additionally, all available issues of the journals "Contact Dermatitis" and "Dermatitis" were manually searched, covering the years 2018-2019, thereby extending and re-focusing a previous similar review. New allergens, or previously described allergens found in a new exposure context or of other current importance, are described in sections according to substance classes, e.g., metals, preservatives, fragrances. As a common finding in many investigations, a lack of information on product composition has been noted, for instance, regarding a newly described allergen in canvas shoes (dimethylthiocarbamylbenzothiazole sulfide) and, most notably, absence of co-operation from manufacturers of glucose-monitoring devices and insulin pumps, respectively. These latter devices have been shown to cause severe ACD in a considerable number of diabetic patients caused by the liberation of isobornyl acrylate and N,N'-dimethylacrylamide, respectively, as demonstrated by an international collaboration between dermatologists and chemists. Improved and complete ingredient labelling for all types of products, and not just cosmetics, must be put on the legislative agenda.