1
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Svendsen SV, Mortz CG, Mose KF. Contact allergy to topical ophthalmic medications: A retrospective single-centre study of three decades. Contact Dermatitis 2024; 91:119-125. [PMID: 38581258 DOI: 10.1111/cod.14552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 03/09/2024] [Accepted: 03/12/2024] [Indexed: 04/08/2024]
Abstract
BACKGROUND The prevalence of contact allergy to various ophthalmic medications appears to be rare; however, data on culprits, clinical relevance of sensitizations, and changes in frequency within recent decades are limited. OBJECTIVE This study aimed to investigate the clinical relevance, risk factors, and prevalence of contact allergy to topical ophthalmic medications in patients suspected of allergic contact dermatitis to ophthalmic medication. METHODS We retrospectively analysed patch test results and clinical data for 754 patients patch-tested with an ophthalmic medication series at our tertiary referral centre between January 1992 and December 2022. RESULTS In total, 37.5% (283/754) of patch-tested patients had a contact allergy to at least one ophthalmic allergen, with 87.3% (247) being clinically relevant sensitization. Phenylephrine (31.8%, 192/604), povidone-iodine (29%, 27/93), and tobramycin (23%, 46/200) were the most important sensitizers. The incidence of contact allergies increased significantly in a linear manner (p = 0.008) from 20% to 44.1% within the study period. Male sex and age above 40 were risk factors for contact allergy to ophthalmic medication. CONCLUSIONS One third of patch tested patients had allergic contact dermatitis to ophthalmic medication, particularly phenylephrine. Male sex and age above 40 years were independent risk factors and drove the linear increase in contact allergy to ophthalmic medications within the past 31 years.
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Affiliation(s)
- Sebastian Vigand Svendsen
- Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | - Charlotte G Mortz
- Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | - Kristian Fredløv Mose
- Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark
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2
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Teo YX, White IR. Sodium metabisulphite: Findings on patch testing over 5-years from a single centre. Contact Dermatitis 2024. [PMID: 38838032 DOI: 10.1111/cod.14615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 04/15/2024] [Accepted: 05/22/2024] [Indexed: 06/07/2024]
Affiliation(s)
- Ying X Teo
- Department of Cutaneous Allergy, St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
- Department of Dermatology, University Hospitals Southampton NHS Foundation Trust, Southampton, UK
| | - Ian R White
- Department of Cutaneous Allergy, St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
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3
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Sanz-Sánchez T, Giménez-Arnau AM, Mercader-García P, González Pérez R, Zaragoza-Ninet V, Miquel-Miquel J, Silvestre-Salvador JF, Córdoba-Guijarro S, Carrascosa-Carrillo JM, Gática-Ortega ME, Ruíz-González I, Tous-Romero F, Ortiz-de Frutos FJ, Serra-Baldrich E, Pastor-Nieto A, Rodríguez-Serna M, Sánchez-Pérez J, Sánchez Gilo A, Melé-Ninot G, Sánchez Predreño Guillén P, García-Doval I, Borrego L. Sodium metabisulfite a current low relevant allergen in Spain. J Eur Acad Dermatol Venereol 2024; 38:e504-e506. [PMID: 38088580 DOI: 10.1111/jdv.19702] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 11/22/2023] [Indexed: 05/26/2024]
Affiliation(s)
- Tatiana Sanz-Sánchez
- Department of Dermatology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Spain
| | | | | | | | | | - Javier Miquel-Miquel
- Department of Dermatology, Hospital Arnau Vilanova de de Valencia, Valencia, Spain
| | | | | | | | | | | | - Fátima Tous-Romero
- Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | | | | | - Antonia Pastor-Nieto
- Department of Dermatology, Hospital Universitario de Guadalajara, Guadalajara, Spain
| | | | | | - Araceli Sánchez Gilo
- Hospital Universitario Rey Juan Carlos Mostoles - Dermatology Móstoles, Madrid, Spain
| | - Gemma Melé-Ninot
- Department of Dermatology, Hospital Universitario Rey Juan Carlos Mostoles, Madrid, Spain
| | | | - Ignacio García-Doval
- Department of Dermatology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Leopoldo Borrego
- Unidad de Investigación of the Fundación Piel Sana AEDV of the Spanish Academy, Madrid, Spain
- Department of Dermatology, Hospital Universitario Insular, Universidad de las Palmas de Gran Canaria, La Palmas de Gran Canaria, Spain
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4
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Slodownik D, Bar J, Daniely D. Trends in contact sensitization, results, and implications from a contact dermatitis clinic in Israel. Contact Dermatitis 2024; 90:556-565. [PMID: 38368629 DOI: 10.1111/cod.14524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 12/18/2023] [Accepted: 02/05/2024] [Indexed: 02/20/2024]
Abstract
BACKGROUND The baseline series includes common allergens, evolves over time, and differs by location. Our study aims to characterize allergen sensitization trends among the Israeli population during the last two decades, compare our results to American and European registries, as well as to highlight significant allergens in additional series outside the European baseline series (OEBS). METHODS We analysed patch test results of 2086 patients from a designated contact dermatitis clinic in Tel Aviv between 2019 and 2022, compared them to European and North American registries and to 2156 patch test results conducted in Israel two decades ago. RESULTS 38.6% of patients had at least one positive reaction to an allergen in the European baseline series (EBS), nickel sulphate (14.6%), fragrance mix I (4.6%), and Methylchloroisothiazolinone methylisothiazolinone (MCI/MI; 3.7%) were the most common among them. N-Isopropyl N-Phenyl-4-Phenylenediamine (NIPPD; 0%), Propolis (0.1%), Sesquiterpene lactone mix (0.1%), and Budesonide (0.1%) elicited a sensitization frequency significantly lower than the proposed threshold for baseline inclusion. Chi-square test revealed a statistically significant decrease (p < 0.05) in the sensitization frequency of fragrance mix I, Formaldehyde, Potassium dichromate, Neomycin sulphate, Myroxylon pereirae, Sesquiterpene lactone, and NIPPD during the last two decades. The overall sensitization frequency to the majority of allergens was lower in our cohort in comparison to the North American and European registries. CONCLUSIONS MCI/MI and 2-hydroxyethyl methacrylate-2 (HEMA) are common, relevant allergens, with high SPIN (significance and prevalence index number) and should be better regulated by the authorities. While among the EBS, NIPPD, Propolis, Sesquiterpene lactone, and Budesonide usually do not elicit a positive reaction and therefore should be reconsidered in baseline series, among the OEBS, Chloramphenicol, Quaternium 15, Propyl gallate, and Amerchol L101 have elicited high SPIN values and should be vigilantly examined in the suitable clinical scenario. Significantly lower sensitization frequency to propolis raises the possibility of a protective effect due to early oral exposure among the Israeli population.
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Affiliation(s)
- Dan Slodownik
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Department of Dermatology, Tel Aviv University, Tel Aviv, Israel
| | - Jonathan Bar
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Department of Dermatology, Tel Aviv University, Tel Aviv, Israel
| | - Danny Daniely
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Department of Dermatology, Tel Aviv University, Tel Aviv, Israel
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5
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Mooney R, Giammarini E, Corbett E, Thomson S, McKinley K, Sinisterra Sebastian P, Rodgers K, O’Donnell J, McGinness C, Roberts CW, Ramaesh K, Henriquez FL. Sodium Metabisulfite Inhibits Acanthamoeba Trophozoite Growth through Thiamine Depletion. Pathogens 2024; 13:431. [PMID: 38921729 PMCID: PMC11206890 DOI: 10.3390/pathogens13060431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/13/2024] [Accepted: 05/19/2024] [Indexed: 06/27/2024] Open
Abstract
Acanthamoeba keratitis (AK) is a severe infection of the cornea. Prevention and treatment are difficult due to the inefficacy of currently available compounds. The impact of many commonly used compounds for routine examinations of Acanthamoeba is unexplored but might offer insight useful in combatting AK. In this study, we demonstrate that sodium metabisulfite, a common preservation constituent of eye care solutions, was found to be active against Acanthamoeba trophozoites at concentrations lower than that commonly found in eye drops (IC50 0.03 mg/mL). We demonstrate that sodium metabisulfite depletes thiamine from growth medium and that Acanthamoeba is a thiamine auxotroph, requiring thiamine salvage for growth. The inhibitory effects of sodium metabisulfite can be overcome by thiamine supplementation. These results are consistent with the lack of key enzymes for thiamine biosynthesis in the genome of Acanthamoeba, an area which might prove exploitable using new or existing compounds. Indeed, this study highlights sodium metabisulfite as a useful inhibitor of Acanthamoeba castellanii trophozoites in vitro and that it acts, at least in part, by limiting available thiamine.
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Affiliation(s)
- Ronnie Mooney
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Elisa Giammarini
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Erin Corbett
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Scott Thomson
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Kevin McKinley
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Paula Sinisterra Sebastian
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Kiri Rodgers
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Jana O’Donnell
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
| | - Charles McGinness
- School of Computing, Engineering and Physical Sciences, University of the West of Scotland Paisley, Glasgow PA1 2BE, UK
| | - Craig W. Roberts
- Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UK
| | - Kanna Ramaesh
- NHS Greater Glasgow and Clyde, Gartnavel Hospital, Department of Ophthalmology, Glasgow G12 0YN, UK
| | - Fiona L. Henriquez
- School of Health and Life Sciences, University of the West of Scotland Lanarkshire, Glasgow G72 0LH, UK; (R.M.)
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6
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Stingeni L, Bianchi L, Caroppo ES, Belloni Fortina A, Caroppo F, Corazza M, Borghi A, Gallo R, Trave I, Ferrucci SM, Beretta A, Guarneri F, Martina E, Napolitano M, DE Lucia M, Patruno C, Bennardo L, Romita P, Foti C, Tramontana M, Marietti R, Argenziano G, Hansel K. The new Italian SIDAPA Baseline Series for patch testing (2023): an update according to the new regulatory pathway for contact allergens. Ital J Dermatol Venerol 2024; 159:83-104. [PMID: 38650492 DOI: 10.23736/s2784-8671.24.07733-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
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.
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Affiliation(s)
- Luca Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy -
| | - Leonardo Bianchi
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Elena S Caroppo
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | | | | | - Monica Corazza
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Rosella Gallo
- Division of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
| | - Ilaria Trave
- Division of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
| | - Silvia M Ferrucci
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Andrea Beretta
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Fabrizio Guarneri
- Section of Dermatology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Emanuela Martina
- Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic University of the Marche Region, Ancona, Italy
| | - Maddalena Napolitano
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Mario DE Lucia
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Cataldo Patruno
- Section of Dermatology, Department of Health Sciences, Magna Graecia University, Catanzaro, Italy
| | - Luigi Bennardo
- Section of Dermatology, Department of Health Sciences, Magna Graecia University, Catanzaro, Italy
| | - Paolo Romita
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - Caterina Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - Marta Tramontana
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Rossella Marietti
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Giuseppe Argenziano
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, "Luigi Vanvitelli" University of Campania, Naples, Italy
| | - Katharina Hansel
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
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7
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Beaulieu V, Matei I, Hajjar N, Ingen-Housz-Oro S, Assier H. Acute allergic contact dermatitis caused by sulphites in a cosmetic and a pharmaceutical cream. Contact Dermatitis 2024; 90:312-314. [PMID: 38037715 DOI: 10.1111/cod.14468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 11/14/2023] [Accepted: 11/16/2023] [Indexed: 12/02/2023]
Affiliation(s)
- Valérie Beaulieu
- Department of Dermatology, AP-HP, Henri Mondor Hospital, Créteil, France
- Department of Dermatology, Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec, Canada
| | - Ilaria Matei
- Department of Dermatology, AP-HP, Henri Mondor Hospital, Créteil, France
| | - Nancy Hajjar
- Department of Dermatology, AP-HP, Henri Mondor Hospital, Créteil, France
| | - Saskia Ingen-Housz-Oro
- Department of Dermatology, AP-HP, Henri Mondor Hospital, Créteil, France
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France
| | - Haudrey Assier
- Department of Dermatology, AP-HP, Henri Mondor Hospital, Créteil, France
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France
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8
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Pathan S. Potential Anaphylaxis to Systemic Phenylephrine: A Case Report. Hosp Pharm 2024; 59:19-23. [PMID: 38223868 PMCID: PMC10786053 DOI: 10.1177/00185787231185867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Abstract
This case summarizes a 66 year old woman with a past medical history of asthma, breast cancer, anxiety, and chronic back pain with prior surgical insertion of spinal hardware, presenting for removal of spinal hardware at L5-S1 and spinal laminectomy and fusion at L4-L5. Her course was complicated by acute blood loss anemia and post-operative hypotension managed with a phenylephrine infusion, for which she experienced a possible anaphylactic reaction requiring upgrade to the intensive care unit. She was managed using intramuscular epinephrine, diphenhydramine, methylprednisolone, albuterol, famotidine, and oxygen. As phenylephrine is structurally similar to the endogenous catecholamines epinephrine and norepinephrine, diagnosis of her reaction was difficult. However, phenylephrine contains sodium metabisulfite, a preservative sulfite that may cause allergic-type reactions, particularly in patients with asthma in their medical history. Her hypersensitivity reaction was likely secondary to her use of phenylephrine, and she was discharged with a plan for outpatient follow up with the allergy team. As this case exemplifies, patients with a predisposition to allergic reactions should be closely monitored for possible hypersensitivity to preservatives and excipients in medications.
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Affiliation(s)
- Sophia Pathan
- Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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9
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Ekstein SF, Warshaw EM. Sulfites: Allergen of the Year 2024. Dermatitis 2024; 35:6-12. [PMID: 37590472 DOI: 10.1089/derm.2023.0154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Abstract
Sodium disulfite, also known as sodium metabisulfite or sodium pyrosulfite, is an inorganic compound, which may cause allergic contact dermatitis. Sulfites act as antioxidants and preservatives; common sources include food/beverages, pharmaceuticals, and personal care products. Importantly, sulfites are not included in most screening patch test series and thus may be missed as a relevant contact allergen. The American Contact Dermatitis Society chose sulfites as the Allergen of the Year for 2024 to raise awareness about this significant allergen.
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Affiliation(s)
- Samuel F Ekstein
- From the Department of Dermatology, Park Nicollet Health Services, Minneapolis, Minnesota, USA
- Mayo Clinic Alix School of Medicine, Rochester, Minnesota, USA
| | - Erin M Warshaw
- From the Department of Dermatology, Park Nicollet Health Services, Minneapolis, Minnesota, USA
- Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA
- Department of Dermatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, USA
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10
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Johnson W, Bergfeld WF, Belsito DV, Klaassen CD, Liebler DC, Marks JG, Peterson LA, Shank RC, Slaga TJ, Snyder PW, Fiume M, Heldreth B. Sulfites. Int J Toxicol 2023; 42:110S-114S. [PMID: 37843013 DOI: 10.1177/10915818231204569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
The Expert Panel for Cosmetic Ingredient Safety reviewed newly available studies since their original assessment in 1998, along with updated information regarding product types and concentrations of use, and confirmed that Sodium Sulfite, Potassium Sulfite, Ammonium Sulfite, Sodium Bisulfite, Ammonium Bisulfite, Sodium Metabisulfite, and Potassium Metabisulfite are safe as cosmetic ingredients in the practices of use and concentration as described in this report.
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Affiliation(s)
- Wilbur Johnson
- Cosmetic Ingredient Review Former Senior Scientific Analyst/Writer
| | | | | | | | | | - James G Marks
- Expert Panel for Cosmetic Ingredient Safety Former Member
| | | | - Ronald C Shank
- Expert Panel for Cosmetic Ingredient Safety Former Member
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11
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Johnson H, Yu J. Systemic Contact Dermatitis to Sodium Metabisulfite Presenting As Episodic, Unilateral Lip Swelling. Dermatitis 2023; 34:451. [PMID: 37130320 DOI: 10.1089/derm.2023.0039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Affiliation(s)
- Hadley Johnson
- From the University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - JiaDe Yu
- Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
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12
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Liu M, Lu J, Liu Q, Chen Y, Wang G, Zhang Q, Guan S. Effects of sodium metabisulfite on pyroptosis, mitophagy and degranulation in mast cells. Food Chem Toxicol 2023:113918. [PMID: 37356559 DOI: 10.1016/j.fct.2023.113918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 06/20/2023] [Accepted: 06/22/2023] [Indexed: 06/27/2023]
Abstract
Sodium metabisulphite (SMB) is the most used foods and drugs antioxidant among sulfites. So far, there were few studies about its harm, especially in mast cells. Our study was to investigate the effects of SMB on mitophagy and pyroptosis in mast cells. The results revealed that SMB dose-dependently promoted the expressions of NLRP3, GSDMD-N and other marker proteins of pyroptosis. Knockdown of GSDMD, NLRP3 inhibitor, mitophagy activator and mtROS inhibitor all reversed the changes in pyroptosis indicators caused by SMB. Considering the degranulation characteristics of mast cells and the sensitization of sulfite, we examined the effects of the above inhibitors on the degranulation of mast cells caused by SMB. The results showed that SMB-mediated mast cell degranulation was significantly inhibited by the above inhibitors. Meanwhile, we used immunofluorescence co-localization experiments and found that GSDMD pore-forming protein and histamine co-localized near the cell membrane. Overall, evidence suggested that SMB caused pyroptosis by inhibiting mitophagy, leading to mast cell degranulation. These findings are of great significance to the sensitization mechanism of SMB and provide a new insight into SMB toxicology and mast cell degranulation.
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Affiliation(s)
- Meitong Liu
- College of Food Science and Engineering, Jilin University, Changchun, Jilin, 130062, China
| | - Jing Lu
- College of Food Science and Engineering, Jilin University, Changchun, Jilin, 130062, China; Key Laboratory of Zoonosis, Ministry of Education College of Veterinary Medicine, Jilin University, Changchun, Jilin, 130062, China
| | - Qingbin Liu
- The Affiliated to Changchun University of Chinese Medicine, Changchun, Jilin, 130062, China
| | - Yuelin Chen
- College of Food Science and Engineering, Jilin University, Changchun, Jilin, 130062, China
| | - Guang Wang
- Key Laboratory of Zoonosis, Ministry of Education College of Veterinary Medicine, Jilin University, Changchun, Jilin, 130062, China
| | - Qian Zhang
- College of Food Science and Engineering, Jilin University, Changchun, Jilin, 130062, China
| | - Shuang Guan
- College of Food Science and Engineering, Jilin University, Changchun, Jilin, 130062, China; Key Laboratory of Zoonosis, Ministry of Education College of Veterinary Medicine, Jilin University, Changchun, Jilin, 130062, China.
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13
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Hamann CR, Baker C, O'Hern K, Zug KA. Occupational allergic contact dermatitis to sodium metabisulfite in shredded coconut. Contact Dermatitis 2022; 87:385-386. [PMID: 35715879 DOI: 10.1111/cod.14175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 06/14/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Carsten R Hamann
- Contact Dermatitis Institute, Phoenix, Arizona, USA
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA
- HonorHealth Dermatology Residency, Scottsdale, Arizona, USA
| | - Catherine Baker
- Department of Dermatology, Yale New Haven Hospital, New Haven, Connecticut, USA
| | - Keegan O'Hern
- Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA
| | - Kathryn A Zug
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA
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14
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Zia Qureshi I, Ud Din N, Khadija G, Shahzadi A, Rafiq B, Afaqi H. Adverse physiologic effects of a common food additive potassium metabisulfite (E224) in laboratory rats. J FOOD PROCESS PRES 2022. [DOI: 10.1111/jfpp.16393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Irfan Zia Qureshi
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
| | - Nizam Ud Din
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
| | - Ghulam Khadija
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
| | - Aneeqa Shahzadi
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
| | - Bakhtawer Rafiq
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
| | - Hina Afaqi
- Laboratory of Animal and Human Physiology, Department of Zoology Quaid‐i‐Azam University Islamabad Pakistan
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Sodium Metabisulfite Allergic Contact Dermatitis From Lidocaine Exposure in an Operating Room Nurse. Dermatitis 2021; 32:e108-e109. [PMID: 34807534 DOI: 10.1097/der.0000000000000710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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16
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Secrest A, Kuceki G. Acute nail changes after manicure with acrylate containing nail polish. Assoc Med J 2021. [DOI: 10.1136/bmj-2021-067253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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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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Tan MG, Li HO, Pratt MD. Systemic allergic dermatitis to sodium metabisulfite in local anesthetic solution. Contact Dermatitis 2021; 86:120-121. [PMID: 34549447 DOI: 10.1111/cod.13978] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 09/11/2021] [Accepted: 09/19/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Marcus G Tan
- Division of Dermatology, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Heidi O Li
- Division of Dermatology, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Melanie D Pratt
- Division of Dermatology, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada
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King N, Latheef F, Wilkinson M. Trends in preservative allergy: Benzisothiazolinone emerges from the pack. Contact Dermatitis 2021; 85:637-642. [PMID: 34482552 DOI: 10.1111/cod.13968] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 08/26/2021] [Accepted: 08/31/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Preservatives are used widely in cosmetic, household, and industrial products to prevent microbial growth and spoiling of the products. There has been a recent epidemic of contact allergy to methylisothiazolinone (MI). OBJECTIVES To establish emerging trends in preservative contact allergy as MI is replaced. METHODS We performed a retrospective study on consecutively patch-tested patients at our center from January 2011 to December 2019. RESULTS A total of 7846 consecutively patch-tested patients were included who were patch tested between January 2011 and December 2019. The prevalence of allergy to MI fell from a peak of 9.39% in 2013 to 1.98% in 2019. MI/methylchloroisothiazolinone (MCI) followed a similar trend, with a peak prevalence of 7.85% in 2014 and falling to 1.39% in 2018. The prevalence of contact allergy to benzisothiazolinone (BIT) has increased steadily increased in 2014 from 0.26% (confidence interval [CI] 0.03-0.93) to 3.42% (CI 2.43-4.66) in 2019. CONCLUSIONS Our data show a significant increase in the prevalence of contact allergy to BIT over the last 6 years, probably as a consequence of increased use in household products. It is essential to continue to look for emerging trends in contact allergy to enable prompt preventative measures to be taken.
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Affiliation(s)
- Natalie King
- Department of Dermatology, Chapel Allerton Hospital, Leeds Teaching Hospitals Trust, Leeds, UK
| | - Faheem Latheef
- Department of Dermatology, Chapel Allerton Hospital, Leeds Teaching Hospitals Trust, Leeds, UK
| | - Mark Wilkinson
- Department of Dermatology, Chapel Allerton Hospital, Leeds Teaching Hospitals Trust, Leeds, UK
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Contact Allergens in Prescription Topical Ophthalmic Medications. Dermatitis 2021; 33:135-143. [PMID: 34115664 DOI: 10.1097/der.0000000000000751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND/OBJECTIVE Both active and inactive ingredients in topical ophthalmic agents may cause allergic contact dermatitis. Here, we examined ingredients in prescription topical ophthalmic medications available in the United States. METHODS A comprehensive list of topical ophthalmic medications was generated using AccessPharmacy. Categories included antiglaucoma, antibiotic, antibiotic/corticosteroid, corticosteroid, antiviral, antifungal, mydriatic, and miotic agents. For each formulation, ingredients were investigated using the National Institutes of Health US National Library of Medicine database and/or manufacturer websites. Counts and proportions were calculated for inactive ingredients, including those in the American Contact Dermatitis Society (ACDS) Core 90 Allergen Series. RESULTS Two hundred sixty-four unique prescription ophthalmic medications met the inclusion criteria. The most common ACDS Core 90 allergen/cross-reactor inactive ingredient was benzalkonium chloride (68.1%, 180/264), followed by sorbates (11.7%, 31/264), parabens (6.8%, 18/264), sodium metabisulfite (3.8%, 10/264), propylene glycol (3.0%, 8/264), and lanolin (3.0%, 8/264). Approximately 21% (20.8%, 55/264) of products had no ACDS Core 90 allergens/cross-reactor inactive ingredients. The most common ACDS Core 90 allergen/cross-reactor active ingredients were aminoglycoside antibiotics, bacitracin/polymyxin B, and corticosteroids. Important non-ACDS Core 90 allergens included inactive ingredients, such as EDTA 28.0% and thimerosal 2.7%, as well as active ingredients, especially β-blockers. CONCLUSIONS Benzalkonium chloride, sodium metabisulfite, propylene glycol, and lanolin were common inactive ingredient allergens. Most ophthalmic categories had low allergen formulations available for patients with contact allergy.
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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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Warshaw EM, Buonomo M, DeKoven JG, Atwater AR, Reeder MJ, Belsito DV, Silverberg JI, Taylor JS, Maibach HI, Zug KA, Sasseville D, Fowler JF, Pratt MD, DeLeo VA, Zirwas MJ. Patch testing with sodium disulfite: North American Contact Dermatitis Group experience, 2017 to 2018. Contact Dermatitis 2021; 85:285-296. [PMID: 33843061 DOI: 10.1111/cod.13860] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 03/23/2021] [Accepted: 04/07/2021] [Indexed: 01/09/2023]
Abstract
BACKGROUND Sodium disulfite (SD), also known as sodium metabisulfite, is an increasingly recognized cause of allergic contact dermatitis. OBJECTIVES The objective of this work was to characterize individuals with positive patch test reactions to SD as well as analyse reaction strength, clinical relevance, and sources. METHODS This is a retrospective analysis of patients patch tested with SD (1% petrolatum) by the North American Contact Dermatitis Group (NACDG), 2017 to 2018. RESULTS Of 4885 patients patch tested with SD, 132 (2.7%) had a positive reaction. Common primary anatomic sites of dermatitis were face (28.8%), hands (20.5%), and a scattered/generalized distribution (13.6%). Compared with SD-negative patients, SD-positive patients were more likely male (odds ratio 2.81, 95% confidence interval 1.98-4.00) and/or over 40 years (odds ratio 1.95, 95% confidence interval 1.30-2.94). Reactions were most commonly + (50.4%) or ++ (34.1%); 65.2% were considered currently relevant. About 15.2% were definitively confirmed in sources, commonly personal care products (18.9%, especially hair dye), and drugs/medications/alcoholic beverages (9.1%). Only 2.3% of positive reactions were linked to occupation. CONCLUSIONS Positive reactions to SD occurred in 2.7% of tested patients. Reactions were often clinically relevant and linked to personal care products and drugs/medications/alcoholic beverages.
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Affiliation(s)
- Erin M Warshaw
- Department of Dermatology, Park Nicollet Health Services, Minneapolis, Minnesota, USA.,Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA.,Department of Dermatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, USA
| | - Michele Buonomo
- Department of Dermatology, Park Nicollet Health Services, Minneapolis, Minnesota, USA.,Department of Dermatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.,University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Joel G DeKoven
- Division of Dermatology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - Amber R Atwater
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
| | - Margo J Reeder
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Donald V Belsito
- Department of Dermatology, Columbia University Irving Medical School, New York, New York, USA
| | - Jonathan I Silverberg
- Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA
| | - James S Taylor
- Department of Dermatology, Cleveland Clinic, Cleveland, Ohio, USA
| | - Howard I Maibach
- Department of Dermatology, University of California San Francisco, San Francisco, California, USA
| | - Kathryn A Zug
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA
| | - Denis Sasseville
- Division of Dermatology, Montreal General Hospital, McGill University, Montreal, Quebec, Canada
| | - Joseph F Fowler
- Division of Dermatology, University of Louisville, Louisville, Kentucky, USA
| | - Melanie D Pratt
- Division of Dermatology, University of Ottawa, Ottawa, Ontario, Canada
| | - Vincent A DeLeo
- Department of Dermatology, Keck School of Medicine, Los Angeles, California, USA
| | - Matt J Zirwas
- Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA
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Banach M, Wiloch M, Zawada K, Cyplik W, Kujawski W. Evaluation of Antioxidant and Anti-Inflammatory Activity of Anthocyanin-Rich Water-Soluble Aronia Dry Extracts. Molecules 2020; 25:E4055. [PMID: 32899830 PMCID: PMC7570557 DOI: 10.3390/molecules25184055] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 08/27/2020] [Accepted: 09/01/2020] [Indexed: 01/09/2023] Open
Abstract
Aronia fruits contain many valuable components that are beneficial to human health. However, fruits are characterized by significant variations in chemical composition dependent on the growing conditions and harvesting period. Therefore, there is a need to formulate the extracts with a precisely defined content of health-promoting substances. Aronia dry extracts (ADE) were prepared from frozen pomace applying water extraction, followed by purification and spray-drying. Subsequently, the content of anthocyanins, phenolic acids, and polyphenols was determined. The high-quality chokeberry pomace enabled obtaining extracts with anthocyanin content much higher than the typical market standards. Moreover, it was found that the antioxidant capacity of aronia extracts exceeded those found in other fruit preparations. Antioxidant and free-radical scavenging properties were evaluated using a 2,2'-diphenyl-1-picrylhydrazyl using Electron Paramagnetic Resonance (EPR) spectroscopy (DPPH-EPR) test and Oxygen Radical Absorbance Capacity (ORAC) assay. The inhibition of lipid peroxidation and the level of inflammatory markers have been also investigated using lipopolysaccharide (LPS)-stimulated RAW 264 cells. It was revealed that ADE standardized to 25% of anthocyanins depresses the level of markers of inflammation and lipid peroxidation (Interleukin 1 beta (IL-1β), tumor necrosis factor alpha (TNF-α), and malondialdehyde (MDA)) in in vitro conditions. Additionally, it was confirmed that ADE at all analyzed concentrations did not show any cytotoxic effect as demonstrated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay.
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Affiliation(s)
- Mariusz Banach
- Greenvit Ltd., 27A Wojska Polskiego Avenue, 18-300 Zambrów, Poland; (M.B.); (W.C.)
- Faculty of Chemistry, Nicolaus Copernicus University in Toruń, 87-100 Toruń, Poland
| | | | - Katarzyna Zawada
- Faculty of Pharmacy with the Laboratory Medicine Division, Medical University of Warsaw, 02-097 Warsaw, Poland;
| | - Wojciech Cyplik
- Greenvit Ltd., 27A Wojska Polskiego Avenue, 18-300 Zambrów, Poland; (M.B.); (W.C.)
| | - Wojciech Kujawski
- Faculty of Chemistry, Nicolaus Copernicus University in Toruń, 87-100 Toruń, Poland
- Faculty of Chemistry and Chemical Technology, Al-Farabi Kazakh National University, 050040 Almaty, Kazakhstan
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Müller T. An evaluation of subcutaneous apomorphine for the treatment of Parkinson's disease. Expert Opin Pharmacother 2020; 21:1659-1665. [PMID: 32640853 DOI: 10.1080/14656566.2020.1787379] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Heterogeneity of symptoms and individual variability of progression characterizes Parkinson's disease. Unmet therapeutic needs include a cure, disease modification, and improvement of available marketed dopamine-substituting compounds. Personalized treatment, tailored to the patients' needs and symptoms, aims to ameliorate impaired motor behavior and non-motor features. Injection or infusion of apomorphine is a therapeutic option for more advanced patients with severe levodopa associated motor complications. AREAS COVERED This narrative review summarizes the subcutaneous administration, efficacy, and side effects of the non-ergot derivative dopamine agonist apomorphine following a non-systematic literature research. EXPERT OPINION Subcutaneous apomorphine hydrochloride application rapidly terminates intervals with severe motor impairment with bolus injections. Oscillation of motor behavior well responds to continuous apomorphine infusions. Long-term application of the commercially available apomorphine hydrochloride solution sooner or later affects skin and oral mucosa. Onset of skin nodules associated with subcutaneous tissue inflammation probably results from the antioxidant preservative sodium metabisulfite in the apomorphine solution. Addition of another better tolerated and safer antioxidant instead of sodium metabisulphite or use of an already available concentrated apomorphine-free base formulation will enhance its future use, its tolerability, safety, and acceptance of subcutaneous and sublingual application.
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Affiliation(s)
- Thomas Müller
- Department of Neurology, St. Joseph Hospital Berlin-Weißensee , Berlin, Germany
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Müller T. Pharmacokinetics and pharmacodynamics of levodopa/carbidopa cotherapies for Parkinson’s disease. Expert Opin Drug Metab Toxicol 2020; 16:403-414. [DOI: 10.1080/17425255.2020.1750596] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Thomas Müller
- Department of Neurology, St. Joseph Hospital Berlin-Weißensee, Berlin, Germany
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Soriano LF, Rasool S, Buckley DA. Bullous allergic contact dermatitis from disperse dyes in Lycra cycling shorts. Contact Dermatitis 2020; 82:122-124. [DOI: 10.1111/cod.13406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Accepted: 09/26/2019] [Indexed: 12/01/2022]
Affiliation(s)
| | - Sarah Rasool
- Dermatology ConsultantRoyal United Hospital Bath UK
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Dendooven E, Darrigade A, Foubert K, Pieters L, Lambert J, Goossens A, Aerts O. The presence of sulfites in ‘natural rubber latex’ and ‘synthetic’ rubber gloves: an experimental pilot study. Br J Dermatol 2019; 182:1054-1055. [DOI: 10.1111/bjd.18608] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- E. Dendooven
- Department of Dermatology Contact Allergy Unit University Hospital Antwerp (UZA) and University of Antwerp (UA) Wilrijkstraat 10 B‐2650 Antwerp Belgium
| | - A.‐S. Darrigade
- Department of Dermatology Contact Allergy Unit University Hospital Antwerp (UZA) and University of Antwerp (UA) Wilrijkstraat 10 B‐2650 Antwerp Belgium
| | - K. Foubert
- Research Group Natural Products and Food – Research and Analysis (NatuRA) Department of Pharmaceutical Sciences University of Antwerp B‐2610 Wilrijk Belgium
| | - L. Pieters
- Research Group Natural Products and Food – Research and Analysis (NatuRA) Department of Pharmaceutical Sciences University of Antwerp B‐2610 Wilrijk Belgium
| | - J. Lambert
- Department of Dermatology Contact Allergy Unit University Hospital Antwerp (UZA) and University of Antwerp (UA) Wilrijkstraat 10 B‐2650 Antwerp Belgium
| | - A. Goossens
- Department of Dermatology Contact Allergy Unit University Hospitals KU Leuven Herestraat 49 B‐3000 Leuven Belgium
| | - O. Aerts
- Department of Dermatology Contact Allergy Unit University Hospital Antwerp (UZA) and University of Antwerp (UA) Wilrijkstraat 10 B‐2650 Antwerp Belgium
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Schlarbaum JP, Kimyon RS, Liou YL, Voller LM, Seyfer SJ, Warshaw EM. Hold the spice: Allergy to garlic and sulfites—Possible relevance in a patient with cheilitis granulomatosa. Contact Dermatitis 2019; 81:397-398. [DOI: 10.1111/cod.13345] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 06/24/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Jamie P. Schlarbaum
- Department of DermatologyPark Nicollet Health Services Minneapolis Minnesota
- University of Minnesota Medical School Minneapolis Minnesota
| | - Rebecca S. Kimyon
- Department of DermatologyPark Nicollet Health Services Minneapolis Minnesota
- University of Minnesota Medical School Minneapolis Minnesota
| | - Yujie L. Liou
- Department of DermatologyPark Nicollet Health Services Minneapolis Minnesota
| | - Lindsey M. Voller
- Department of DermatologyPark Nicollet Health Services Minneapolis Minnesota
- University of Minnesota Medical School Minneapolis Minnesota
| | | | - Erin M. Warshaw
- Department of DermatologyPark Nicollet Health Services Minneapolis Minnesota
- Department of DermatologyUniversity of Minnesota Minneapolis Minnesota
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Mamodaly M, Dereure O, Raison-Peyron N. A new source for isothiazolinone contact allergy in traditional, non-digital photography. Contact Dermatitis 2019; 81:76-77. [PMID: 30779162 DOI: 10.1111/cod.13245] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Accepted: 02/13/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Myriam Mamodaly
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, University of Montpellier, Montpellier, France
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Raison‐Peyron N, Roulet A, Dereure O. Occupational allergic contact dermatitis caused by sulfite in a seafood section worker of a supermarket. Contact Dermatitis 2019; 80:412-414. [DOI: 10.1111/cod.13244] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Accepted: 02/13/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Nadia Raison‐Peyron
- Service de Dermatologie, CHU MontpellierUniversité Montpellier I Montpellier France
| | - Agnès Roulet
- Service de Dermatologie, CHU MontpellierUniversité Montpellier I Montpellier France
- Consultations de pathologies professionnelles, CHU MontpellierUniversité Montpellier I Montpellier France
| | - Olivier Dereure
- Service de Dermatologie, CHU MontpellierUniversité Montpellier I Montpellier France
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Foley CC, White S, Merry S, Nolan U, Moriarty B, Kirby B, Collins P, Lally A. Understanding the role of cutaneous allergy testing in anogenital dermatoses: a retrospective evaluation of contact sensitization in anogenital dermatoses. Int J Dermatol 2019; 58:806-810. [PMID: 30724346 DOI: 10.1111/ijd.14360] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 10/02/2018] [Accepted: 11/27/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND Patients with anogenital symptoms may delay before seeking medical attention. Attempted self-treatment with multiple topical preparations and excessive hygiene measures offer ideal conditions for sensitization. The aim of this study was to identify the common allergens detected on cutaneous allergy testing in patients presenting with anogenital symptoms. METHODS A retrospective chart review of patients who underwent cutaneous allergy testing for perianal and/or genital symptoms over a 3-year period, January 2013 to December 2015, n = 99. Information was gathered from medical records, pretesting questionnaires, and cutaneous allergy testing records. RESULTS At least one relevant allergen(s) was identified in 44/99 (45%) in our cohort, with allergic reactions to fragrances, Myroxylon pereirae, caine mix, sodium metabisulfite, and methylisothiazolinone most frequently observed. CONCLUSIONS Cutaneous allergy testing is a useful investigation in patients presenting with anogenital symptoms, but advice regarding general skin care measures should not be omitted. The most commonly identified relevant allergens in our study were those present in over-the-counter cleansing and hemorrhoid preparations.
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Affiliation(s)
- Catherine C Foley
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Siobhan White
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Subha Merry
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Una Nolan
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Blaithin Moriarty
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Brian Kirby
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Paul Collins
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
| | - Aoife Lally
- Department of Dermatology, St. Vincent's University Hospital, Dublin, Ireland
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Trautmann A, Stoevesandt J. Differential diagnosis of late-type reactions to injected local anaesthetics: Inflammation at the injection site is the only indicator of allergic hypersensitivity. Contact Dermatitis 2019; 80:118-124. [PMID: 30311217 DOI: 10.1111/cod.13130] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 08/28/2018] [Accepted: 08/30/2018] [Indexed: 12/25/2022]
Abstract
BACKGROUND Anaphylaxis-like reactions developing within a few minutes are the most frequent complications of subcutaneous or submucosal injections of local anaesthetics (LAs), and topically applied LAs are potential contact allergens. In addition, injected LAs have been reported to induce delayed reactions, including local inflammation at the injection site, and various general symptoms. OBJECTIVES To assess the frequency and symptoms of late-type hypersensitivity occurring several hours after LA injections. METHODS We retrospectively evaluated clinical data and test results from all patients referred to our allergy clinic in a period of 20 years for diagnostic work-up of LA-associated late-type reactions. RESULTS Of 202 patients reporting symptoms with onset at least 1 hour after LA injection, 40 had cutaneous inflammation confined to the injection site, and 162 reported various systemic symptoms. LA hypersensitivity could be excluded in all patients with systemic complaints by means of skin testing and subsequent subcutaneous provocation. In 8 of the 40 patients (20%) with local inflammatory reactions, late-type allergic LA hypersensitivity was confirmed. CONCLUSIONS Late-type LA allergy commonly causes inflammatory skin reactions confined to the injection site. Conversely, LAs are highly unlikely to trigger delayed systemic symptoms such as urticarial or exanthematous skin eruptions.
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Affiliation(s)
- Axel Trautmann
- Department of Dermatology and Allergy, University Hospital, Würzburg, Germany
| | - Johanna Stoevesandt
- Department of Dermatology and Allergy, University Hospital, Würzburg, Germany
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Andreozzi L, Giannetti A, Cipriani F, Caffarelli C, Mastrorilli C, Ricci G. Hypersensitivity reactions to food and drug additives: problem or myth? ACTA BIO-MEDICA : ATENEI PARMENSIS 2019; 90:80-90. [PMID: 30830065 PMCID: PMC6502174 DOI: 10.23750/abm.v90i3-s.8168] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 02/01/2019] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK The possibility of an allergic reaction or an intolerance to additives is frequently suspected by parents, especially for chronic illness with frequent exacerbations such as atopic dermatitis or chronic urticaria. For more than 50 years, potential adverse reactions to additives have been suggested, but to date data are conflicting. The purpose of this article is to provide the clinicians with general information about additives and adverse reactions to them and to suggest a practical approach to children suspected to have reactions to food additives. METHODS We performed an extensive research on all English-language Medline articles, case reports and reviews published online until December 2018. Used search terms were: food additives, food dye, adverse reactions, food allergy, food hypersensitivity, intolerance, drugs, children. RESULTS There are only few case reports of adverse reactions in childhood with a clear involvement of additives. In this review article we reported the associations between additives and adverse reactions described in literature, in order to inform the pediatrician about the potential clinical manifestations. CONCLUSIONS Prior to suspect an adverse reaction to additives, it is important to rule out other possible causes: the diagnostic process is complicated and rarely conclusive. The gold standard is the double-blind placebo controlled oral challenge after an exclusion diet.
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Affiliation(s)
- Laura Andreozzi
- Pediatric Unit, Department of Medical and Surgical Sciences, University of Bologna, S. Orsola-Malpighi Hospital.
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Aerts O, Goossens A. Preservatives. Contact Dermatitis 2019. [DOI: 10.1007/978-3-319-72451-5_85-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Borgemeester RWK, van Laar T, Schuttelaar MLA. Cutaneous adverse drug reaction after apomorphine infusion, possibly caused by a systemic type IV hypersensitivity reaction to sodium metabisulfite: Report of 2 cases. Contact Dermatitis 2018; 79:316-318. [DOI: 10.1111/cod.13058] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 06/02/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Robbert W. K. Borgemeester
- Parkinson Expertise Centre; University Medical Centre Groningen, University of Groningen; Groningen The Netherlands
| | - Teus van Laar
- Parkinson Expertise Centre; University Medical Centre Groningen, University of Groningen; Groningen The Netherlands
| | - Marie L. A. Schuttelaar
- Department of Dermatology; University Medical Centre Groningen, University of Groningen; Groningen The Netherlands
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Guha-Niyogi B, Sabroe R, Holden C. An unusual case of a systemic delayed hypersensitivity reaction to sodium metabisulfite. Contact Dermatitis 2018; 79:246-247. [DOI: 10.1111/cod.13037] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 04/25/2018] [Accepted: 04/26/2018] [Indexed: 11/30/2022]
Affiliation(s)
| | - Ruth Sabroe
- Department of Dermatology; Royal Hallamshire Hospital; Sheffield UK
| | - Catherine Holden
- Department of Dermatology; Royal Hallamshire Hospital; Sheffield UK
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Christian VJ, Tallar M, Walia CLS, Sieracki R, Goday PS. Systematic Review of Hypersensitivity to Parenteral Nutrition. JPEN J Parenter Enteral Nutr 2018; 42:1222-1229. [PMID: 29761928 DOI: 10.1002/jpen.1169] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 03/19/2018] [Indexed: 11/11/2022]
Abstract
Hypersensitivity to the components of parenteral nutrition (PN) is a rare but important complication of PN. We performed a systematic review of hypersensitivity to PN to enable us to build an approach to the individual patient who presents with PN hypersensitivity. A systematic literature search was performed in Ovid Medline, CINAHL, Scopus, and Web of Science using terms for "hypersensitivity" AND "parenteral nutrition" and relevant synonyms. A total of 28 articles were analyzed, and 33 hypersensitivities to PN or components of PN were reported in these 28 articles. Reports of hypersensitivity and subsequent conclusions were based on the clinical observations made by each reporting author. These reactions were evenly split between pediatric and adult patients. Hypersensitivity to PN occurred on day of starting PN in 60.6% patients and after that time in 36.3% patients (range: 1-21 days). Of the hypersensitivities that occurred on day 1 of PN, 70% occurred in the first 30 minutes of initiation of PN. Cutaneous manifestations were the most common, followed by anaphylaxis, respiratory symptoms, and hemodynamic instability. The components most frequently identified as allergens were intravenous fat emulsion (48.4%), multivitamin solution (33.3%), and amino acid solution (9%). Based on this review, an algorithm was created to guide the practitioner on management of PN after the occurrence of such a reaction.
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Affiliation(s)
- Vikram J Christian
- Department of Pediatrics, Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Matthew Tallar
- Department of Pediatrics, Division of Asthma/Allergy and Clinical Immunology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Cassandra L S Walia
- Clinical Nutrition, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA
| | - Rita Sieracki
- Medical College of Wisconsin Libraries, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Praveen S Goday
- Department of Pediatrics, Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
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Borges AS, Valejo Coelho MM, Fernandes C, Brasileiro A, Gonçalo M. Systemic allergic dermatitis caused by sodium metabisulfite in rectal enemas. Contact Dermatitis 2018; 78:429-430. [DOI: 10.1111/cod.12971] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2017] [Accepted: 12/27/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Ana S. Borges
- Dermatology and Venereology Department, Hospital Santo António dos CapuchosCentro Hospitalar de Lisboa Central 1169‐050 Lisbon Portugal
| | - Margarida M. Valejo Coelho
- Dermatology and Venereology Department, Hospital Santo António dos CapuchosCentro Hospitalar de Lisboa Central 1169‐050 Lisbon Portugal
| | - Cândida Fernandes
- Dermatology and Venereology Department, Hospital Santo António dos CapuchosCentro Hospitalar de Lisboa Central 1169‐050 Lisbon Portugal
| | - Ana Brasileiro
- Dermatology and Venereology Department, Hospital Santo António dos CapuchosCentro Hospitalar de Lisboa Central 1169‐050 Lisbon Portugal
| | - Margarida Gonçalo
- Clinic of Dermatology, University Hospital and Faculty of MedicineUniversity of Coimbra 3000‐075 Coimbra Portugal
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Wilkinson M, Gallo R, Goossens A, Johansen JD, Rustemeyer T, Sánchez-Pérez J, Schuttelaar ML, Uter W. A proposal to create an extension to the European baseline series. Contact Dermatitis 2017; 78:101-108. [PMID: 29194657 DOI: 10.1111/cod.12918] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Revised: 09/04/2017] [Accepted: 09/29/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND The current European baseline series consists of 30 allergens, and was last updated in 2015. OBJECTIVES To use data from the European Surveillance System on Contact Allergies (ESSCA) to propose an extension to the European baseline series in response to changes in environmental exposures. METHODS Data from departmental and national extensions to the baseline series, together with some temporary additions from departments contributing to the ESSCA, were collated during 2013-2014. RESULTS In total, 31689 patients were patch tested in 46 European departments. Many departments and national groups already consider the current European baseline series to be a suboptimal screen, and use their own extensions to it. The haptens tested are heterogeneous, although there are some consistent themes. Potential haptens to include in an extension to the European baseline series comprise sodium metabisulfite, formaldehyde-releasing preservatives, additional markers of fragrance allergy, propolis, Compositae mix, and 2-hydroxyethyl methacrylate. CONCLUSION In combination with other published work from the ESSCA, changes to the current European baseline series are proposed for discussion. As well as addition of the allergens listed above, it is suggested that primin and clioquinol should be deleted from the series, owing to reduced environmental exposure.
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Affiliation(s)
- Mark Wilkinson
- Department of Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, LS7 4SA, UK
| | - Rosella Gallo
- Clinica Dermatologica, Department of Health Sciences (DiSSAL), Università di Genova, Ospedale Policlinico San Martino, 16132, Genoa, Italy
| | - An Goossens
- Contact Allergy Unit, Department of Dermatology, University Hospital KU Leuven, 3000, Leuven, Belgium
| | - Jeanne D Johansen
- Department of Dermato-Allergology, National Allergy Research Centre, Gentofte Hospital, University of Copenhagen, 2900, Hellerup, Denmark
| | - Thomas Rustemeyer
- Department of Dermatology, Free University of Amsterdam, 1081 HV, Amsterdam, The Netherlands
| | | | - Marie L Schuttelaar
- Department of Dermatology, University Medical Centre Groningen, University of Groningen, 9713 GZ, Groningen, The Netherlands
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, 91054, Erlangen, Germany
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Prakash N, Chand P. Chemical Leukoderma: A Rare Adverse Effect of the Rotigotine Patch. Mov Disord Clin Pract 2017; 4:781-783. [DOI: 10.1002/mdc3.12505] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Revised: 04/20/2017] [Accepted: 04/20/2017] [Indexed: 11/11/2022] Open
Affiliation(s)
- Neha Prakash
- Department of Neurology; Saint Louis University; St Louis Missouri
| | - Pratap Chand
- Department of Neurology; Saint Louis University; St Louis Missouri
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Häberle M, Geier J, Mahler V. Kontaktallergie auf Sulfite und Sulfitunverträglichkeit: klinische und berufliche Relevanz. ALLERGO JOURNAL 2017. [DOI: 10.1007/s15007-017-1298-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Grosch E, Mahler V. Allergic contact dermatitis caused by a catheter system containing sodium metabisulfite. Contact Dermatitis 2017; 76:186-187. [DOI: 10.1111/cod.12675] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Accepted: 07/25/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Ella Grosch
- Department of Dermatology; University Hospital Erlangen; 91054 Erlangen Germany
| | - Vera Mahler
- Department of Dermatology; University Hospital Erlangen; 91054 Erlangen Germany
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Contact allergy and intolerance to sulphite compounds: clinical and occupational relevance. ACTA ACUST UNITED AC 2017. [DOI: 10.1007/s40629-016-0003-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Scientific Opinion on the re‐evaluation of sulfur dioxide (E 220), sodium sulfite (E 221), sodium bisulfite (E 222), sodium metabisulfite (E 223), potassium metabisulfite (E 224), calcium sulfite (E 226), calcium bisulfite (E 227) and potassium bisulfite (E 228) as food additives. EFSA J 2016. [DOI: 10.2903/j.efsa.2016.4438] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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What Is the Relevance of Contact Allergy to Sodium Metabisulfite and Which Concentration of the Allergen Should We Use? Dermatitis 2015; 26:162-5. [DOI: 10.1097/der.0000000000000120] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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