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Hernández Fernández CP, Borrego L, Giménez Arnau AM, Zaragoza Ninet V, Sanz Sánchez T, Miquel Miquel FJ, González Pérez R, Silvestre Salvador JF, Córdoba Guijarro S, Carrascosa Carrillo JM, Gatica Ortega ME, Ruiz González I, Mercader García P, Tous Romero F, Serra Baldrich E, Pastor-Nieto MA, Rodríguez Serna M, Sánchez Pérez J, Sánchez Gilo A, Melé Ninot G, Sánchez-Pedreño Guillén P, de Vega Martínez M, Descalzo MÁG, Doval IG. Sensitization to textile dyes in Spain: Epidemiological situation (2019-2022). Contact Dermatitis 2024; 90:486-494. [PMID: 38348533 DOI: 10.1111/cod.14513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 12/29/2023] [Accepted: 01/02/2024] [Indexed: 04/06/2024]
Abstract
BACKGROUND Current frequency and features for positivity to textile dye mix (TDM) in Spain are unknown. OBJECTIVES To study the frequency, clinical features and simultaneous positivity between TDM, para-phenylenediamine (PPD) and specific disperse dyes. MATERIALS AND METHODS We analysed all consecutive patients patch-tested with TDM from the Spanish Contact Dermatitis Registry (REIDAC), from 1 January 2019 to 31 December 2022. Within this group, we studied all selected patients patch-tested with a textile dye series. RESULTS Out of 6128 patients analysed, 3.3% were positive to the TDM and in 34% of them, the sensitization was considered currently relevant. TDM positivity was associated with working as a hairdresser/beautician and scalp, neck/trunk and arm/forearm dermatitis. From TDM-positive patients, 57% were positive to PPD. One hundred and sixty-four patients were patch-tested with the textile dye series. Disperse Orange 3 was the most frequent positive dye (16%). One of every six cases positive to any dye from the textile dye series would have been missed if patch-tested with the TDM alone. CONCLUSIONS Positivity to TDM is common in Spain and often associated with PPD sensitization. TDM is a valuable marker of disperse dyes allergy that should be part of the Spanish and European standard series.
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Affiliation(s)
- Carlos Pelayo Hernández Fernández
- Department of Dermatology, Hospital Universitario de Gran Canaria Doctor Negrín, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Leopoldo Borrego
- Department of Dermatology, Hospital Universitario Insular de Gran Canaria, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Ana María Giménez Arnau
- Department of Dermatology, Hospital del Mar, Instituto Municipal de Investigación Médica, Barcelona, Spain
| | | | | | | | - Ricardo González Pérez
- Department of Dermatology, Hospital Universitario Araba, Universidad del País Vasco, Vitoria, Spain
| | | | | | | | | | | | - Pedro Mercader García
- Department of Dermatology, Hospital General Universitario José María Morales Meseguer, Murcia, Spain
| | - Fátima Tous Romero
- Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | | | | | | | | | - Araceli Sánchez Gilo
- Department of Dermatology, Hospital Universitario Rey Juan Carlos, Móstoles, Spain
| | - Gemma Melé Ninot
- Department of Dermatology, Hospital Universitario Sagrat Cor, Barcelona, Spain
| | | | - Marina de Vega Martínez
- Research Unit, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, Spain
| | | | - Ignacio García Doval
- Research Unit, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, Spain
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Souza MCO, González N, Herrero M, Marquès M, Rovira J, Domingo JL, Barbosa F, Nadal M. Non-regulated aromatic amines in clothing purchased in Spain and Brazil: Screening-level exposure and health impact assessment. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2023; 339:117905. [PMID: 37080103 DOI: 10.1016/j.jenvman.2023.117905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 03/16/2023] [Accepted: 04/08/2023] [Indexed: 05/03/2023]
Abstract
The staggering amount of chemicals in clothes and their harmful effects on human health and the environment have attracted the attention of regulatory agencies and the scientific community worldwide. Azo dyes are synthetic dyestuffs with widespread use in textile industries, currently classified as emerging pollutants of great health concern to consumers. These compounds may release one or more aromatic amines (AAs) after reductive cleavage of their azo bounds. Twenty-two AAs have already been regulated due to their carcinogenic effects. However, since information on their potential toxicity is not currently available, several AAs have not been still regulated by the European Union. Considering this gap, the present study aimed to assess the levels of forty non-regulated AAs in 240 clothing items from Spain and Brazil. The potential impact on the health of vulnerable population groups after dermal exposure to those garments was also evaluated. In Brazil, at least one AA was detected in the clothes, while in samples obtained in Spain, only two of them showed values below the limit of detection for AAs. In 75 clothes, at least one of the measured AAs was higher than the hazardous threshold (30 mg/kg), which can mean risks to human health since these compounds are suspected to be mutagenic. Aniline, the most common AA, showed a high detection rate (82%) in clothes, with significantly higher concentrations in items commercialized in Brazil (0.35 vs. 0.17 mg/kg; p = 0.032). Moreover, o-aminobenzenesulfonic and p-phenylenediamine, suspected mutagenic, were found at relevant concentrations in several clothes, mainly made of synthetic fibers. In this study, the hazard index associated with exposure to AAs through clothing was low (0.006-0.13) for all the population groups of both countries in the medium-bound scenario. However, its value was close to 1 for Brazilian pregnant women (0.998) when the maximum concentration value was considered under an upper-bound scenario. The risk of exposure to non-regulated AAs may be underestimated since only dermal exposure was considered for risk assessment. Moreover, the co-occurrence of other carcinogenic and non-carcinogenic substances present in skin-contact clothes should mean an additional source of potential risk.
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Affiliation(s)
- Marília Cristina Oliveira Souza
- University of Sao Paulo, School of Pharmaceutical Sciences of Ribeirao Preto, Department of Clinical Analyses, Toxicology, and Food Sciences, Analytical and System Toxicology Laboratory, Avenida do Café s/n°, 14040-903, Ribeirao Preto, Sao Paulo, Brazil; Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain.
| | - Neus González
- University of Sao Paulo, School of Pharmaceutical Sciences of Ribeirao Preto, Department of Clinical Analyses, Toxicology, and Food Sciences, Analytical and System Toxicology Laboratory, Avenida do Café s/n°, 14040-903, Ribeirao Preto, Sao Paulo, Brazil; Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
| | - Marta Herrero
- Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
| | - Montse Marquès
- Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
| | - Joaquim Rovira
- Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
| | - Jose L Domingo
- Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
| | - Fernando Barbosa
- University of Sao Paulo, School of Pharmaceutical Sciences of Ribeirao Preto, Department of Clinical Analyses, Toxicology, and Food Sciences, Analytical and System Toxicology Laboratory, Avenida do Café s/n°, 14040-903, Ribeirao Preto, Sao Paulo, Brazil
| | - Martí Nadal
- Universitat Rovira i Virgili, Laboratory of Toxicology and Environmental Health, School of Medicine, Sant Llorenç 21, 43201, Reus, Catalonia, Spain; Institut d'Investigació Sanitària Pere Virgili (IISPV), 43204, Reus, Catalonia, Spain
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Carlsson J, Åström T, Östman C, Nilsson U. Solvent-free automated thermal desorption-gas chromatography/mass spectrometry for direct screening of hazardous compounds in consumer textiles. Anal Bioanal Chem 2023:10.1007/s00216-023-04780-x. [PMID: 37338566 DOI: 10.1007/s00216-023-04780-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 05/12/2023] [Accepted: 05/18/2023] [Indexed: 06/21/2023]
Abstract
The global production of textiles utilizes numerous large-volume chemicals that may remain to some extent in the finished garments. Arylamines, quinolines, and halogenated nitrobenzene compounds are possible mutagens, carcinogens and/or skin sensitizers. For prevention, control of clothing and other textiles must be improved, especially those imported from countries without regulations of textile chemicals. An automated analytical methodology with on-line extraction, separation, and detection would largely simplify screening surveys of hazardous chemicals in textiles. Automated thermal desorption-gas chromatography/mass spectrometry (ATD-GC/MS) was developed and evaluated as a solvent-free, direct chemical analysis for screening of textiles. It requires a minimum of sample handling with a total run time of 38 min including sample desorption, chromatographic separation, and mass spectrometric detection. For most of the studied compounds, method quantification limit (MQL) was below 5 µg/g for 5 mg of textile sample, which is sufficiently low for screening and control of quinoline and arylamines regulated by EU. Several chemicals were detected and quantified when the ATD-GC/MS method was applied in a limited pilot screening of synthetic fiber garments. A number of arylamines were detected, where some of the halogenated dinitroanilines were found in concentrations up to 300 µg/g. This is ten times higher than the concentration limit for similar arylamines listed by the EU REACH regulation. Other chemicals detected in the investigated textiles were several quinolines, benzothiazole, naphthalene, and 3,5-dinitrobromobenzene. Based on the present results, we suggest ATD-GC/MS as a screening method for the control of harmful chemicals in clothing garments and other textiles.
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Affiliation(s)
- Josefine Carlsson
- Department of Materials and Environmental Chemistry, Stockholm University, SE-106 91, Stockholm, Sweden
| | - Tim Åström
- Department of Materials and Environmental Chemistry, Stockholm University, SE-106 91, Stockholm, Sweden
| | - Conny Östman
- Department of Materials and Environmental Chemistry, Stockholm University, SE-106 91, Stockholm, Sweden
| | - Ulrika Nilsson
- Department of Materials and Environmental Chemistry, Stockholm University, SE-106 91, Stockholm, Sweden.
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