1
|
Contribution of Patch Tests with Occupational Handled Products in the Diagnosis of Occupational Contact Dermatitis: A 10-year Review. Dermatol Res Pract 2022; 2022:6768932. [PMID: 35979389 PMCID: PMC9377969 DOI: 10.1155/2022/6768932] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 07/11/2022] [Accepted: 07/25/2022] [Indexed: 11/29/2022] Open
Abstract
Introduction Allergic contact dermatitis (ACD) is a common occupational disease. Its diagnosis is essentially based on interrogation and patch tests. However, commercially available batteries are sometimes not appropriate for the working conditions and the handled products, which must then be tested. In Tunisia, no previous study has focused on the contribution of patch tests with handled products in the workplace. The objective of this study is to establish the sociodemographic and occupational profile of the patients benefiting from patch tests with handled products in the workplace to identify the characteristics of these products as well as to evaluate the relevance of their positivity and their contributions in terms of aetiological diagnosis of occupational ACD. Methods This is a retrospective descriptive epidemiological study conducted for a period of 10 years from January 1st, 2006, to December 31, 2015, among patients exercising a professional activity and consulting the Dermato-Allergology Unit of the Occupational Medicine ward of the University Hospital Farhat Hached of Sousse for the exploration of ACD. Results During the study period, 113 patients received patch tests of handled products in the workplace with a prevalence of 7.3% of patch-tested patients during the same period. The mean age was 35.79 ± 9.45 years with a male predominance (sex ratio = 1.35). The most represented activity sectors were the health sector in 30.1% and the textile sector in 21.2%. The majority of patients were professionally active (61.9% of the study population) with an average professional seniority of 10.28 ± 8.49 months. In total, 138 patch tests with handled products were carried out of which 46 tests were positive (33.3%). After the analytical study, variables independently significantly associated with the positivity of patch tests with handled products in the workplace were the male gender and the working in the plastics industry. An occupational disease was declared to the National Health Insurance Fund for 8 patients, i.e., 7.1% of cases. Conclusion Patch tests with handled products in the workplace can provide strong arguments for the professional origin of the ACD.
Collapse
|
2
|
Mori H, Hayashi S, Mori S, Ikegami T, Saito Y, Yamauchi A, Okamoto M, Hamasaki Y, Igawa K. A case of systemic nickel allergy with diarrhea-predominant irritable bowel syndrome in which nickel intake restriction and administration of a probiotic formulation were effective. Allergol Int 2021; 70:515-516. [PMID: 33853743 DOI: 10.1016/j.alit.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 02/18/2021] [Accepted: 03/18/2021] [Indexed: 11/25/2022] Open
|
3
|
Abstract
Patch test frequency data have been extensively published by research groups, such as the International Contact Dermatitis Research Group, North American Contact Dermatitis Group, Dermato-Allergology Study and Research Group, and European Environmental Contact Dermatitis Research Group. As this knowledge accumulation is widely applied in clinical and public health settings, we describe confounding factors to consider when using such data for medical policy considerations. These concepts can also be used in individual reports of new allergens or series of cases. Some of these confounders may have been reported in current literature (until October 2020), whereas others have not been mentioned/considered in most group publications.
Collapse
|
4
|
Abstract
Allergic contact dermatitis (ACD) remains a globally prevalent disease for both children and adults. The silent ACD epidemic continues to be fueled by the introduction of novel allergens in industrial and household products and the continued presence of known allergens. In 1997, Allan Dillarstone noted a sinusoidal pattern to epidemics when allergenic preservatives were replaced by alternative chemicals within the market, which then similarly increased in allergenicity. A call for public health vigilance and prevention initiatives is needed to intervene in the ACD epidemic.
Collapse
Affiliation(s)
- Mohsen Baghchechi
- University of California, Riverside, School of Medicine, 92521 UCR Botanic Gardens Road, Riverside, CA 92507, USA
| | - Alina Goldenberg
- Dermatologist Medical Group of North County, 11943 EL Camino Real #220, San Diego, CA 92130, USA
| | - Sharon E Jacob
- University of California, Riverside, School of Medicine, 92521 UCR Botanic Gardens Road, Riverside, CA 92507, USA; Veterans Health Administration, Loma Linda, 11210 Benton Street, Loma Linda, CA 92354, USA.
| |
Collapse
|
5
|
Abstract
Nickel remains the most commonly identified contact allergen. However, it has proven difficult to demonstrate significant skin-sensitizing activity for nickel in toxicology tests, which typically have indicated a weak skin sensitization potential. Information indicates that in vivo assays are not predictive of dermal sensitization hazard or potency for nickel due to a human-specific mechanistic route for nickel sensitization that animals lack. A similar rationale will apply to in vitro alternatives-although these currently have limited ability to determine intrinsic potency. Generally, in silico methods are not designed for metal allergens and cannot contribute to the analysis. For ethical reasons, human experimental work has been limited, with a single study suggesting moderate potency. Accordingly, it seems reasonable to conclude that the high frequency of contact allergy to nickel in humans is a function of both its intermediate potency coupled with a high level of dermal exposure, particularly to damaged/inflamed skin.
Collapse
Affiliation(s)
- David Basketter
- From the DABMEB Consultancy Ltd, Bedfordshire, United Kingdom
| |
Collapse
|
6
|
Patch Testing With a New Composition of the Mercapto Mix-A Multicenter Study from the International Contact Dermatitis Research Group. Dermatitis 2021; 32:160-163. [PMID: 33405485 DOI: 10.1097/der.0000000000000669] [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 Mercaptobenzothiazole compounds are associated with allergic contact dermatitis caused by rubber products. Several screening substances have been used for patch testing. OBJECTIVE To compare the frequency of positive test reactions to a mercapto mix containing a higher concentration of 2-mercaptobenzothiazole with reactions to the combination of 2-mercaptobenzothiazole 2.0% and mercapto mix 2.0%. METHODS There were 7103 dermatitis patients in 12 International Contact Dermatitis Research Group dermatology departments who were patch tested with 2-mercaptobenzothiazole 2.0% petrolatum (pet.), mercapto mix 2.0% pet., and mercapto mix 3.5% pet. RESULTS Contact allergy to the 3 test preparations varied among the 12 centers: 2-mercaptobenzothiazole 2.0% pet. (0-2.4%), mercapto mix 2.0% pet. (0-4.9%), and mercapto mix 3.5% pet. (0-1.4%). 2-Mercaptobenzothiazole 2.0% and mercapto mix 2.0% detected a few more positive patients compared with mercapto mix 3.5%, but the difference was statistically insignificant (mercapto mix 2.0% pet., P = 1.0; 2-mercapto-benzothiazole 2.0% pet., P = 0.66). CONCLUSIONS Mercapto mix 3.5% pet. is not better than 2-mercaptobenzothiazole 2.0% and mercapto mix 2.0% by a difference that is significant. By using only 1 test preparation (mercapto mix 3.5%), an additional hapten could be tested. No cases of suspected/proven patch test sensitization were registered.
Collapse
|
7
|
The North American Baseline Series. Contact Dermatitis 2021. [DOI: 10.1007/978-3-030-36335-2_66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
8
|
Bruze M, Ale I, Andersen KE, Cannavó A, Diepgen T, Elsner P, Goh CL, Gonçalo M, Goossens A, McFadden J, Nixon R, Puangpet P, Sasseville D. Contact Allergy to Fragrance Mix II and Hydroxyisohexyl 3-Cyclohexene Carboxaldehyde: A Retrospective Study by International Contact Dermatitis Research Group. Dermatitis 2020; 31:268-271. [DOI: 10.1097/der.0000000000000545] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
9
|
Sukakul T, Limphoka P, Boonchai W. Methylchloroisothiazolinone and/or Methylisothiazolinone Contact Allergies in Thailand. Dermatitis 2020; 32:375-380. [PMID: 32209866 DOI: 10.1097/der.0000000000000537] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Methylchloroisothiazolinone, in combination with methylisothiazolinone (MCI/MI), and MI alone are common preservatives. The incidences of MCI/MI and MI-alone contact allergies have risen markedly worldwide, leading to changes in their use in products. OBJECTIVES The aim of the study was to determine the incidences of positive patch test reactions and factors associated with MCI and/or MI contact allergies during the recent decade in Thailand. METHODS Medical records of patients who underwent patch testing at Siriraj Hospital from 2009 to 2018 were retrospectively reviewed. The incidences of positive reactions, histories, and clinical data of MCI/MI and MI-alone contact allergy patients were analyzed. RESULTS Of 2789 patients undergoing patch testing, most were female (76.1%). The mean ± SD age was 42.7 ± 15.7 years. Positive reactions to MCI/MI increased from 2009 to 2016 before declining. The MCI/MI contact allergy was most common in females, middle-aged patients, and those with metal allergy histories, with the hands and arms being the predominant sites. However, MI-alone contact allergy was more common in males and mainly at the trunk. Its incidence significantly declined for the last 5 years. CONCLUSIONS The incidences of MCI/MI and MI-alone contact allergies began to decline because the Food and Drug Administration Thailand regulations restricted their use. The risk factors for the allergies reported in this study provide important information for patient care.
Collapse
Affiliation(s)
- Thanisorn Sukakul
- From the Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | | |
Collapse
|
10
|
|
11
|
The North American Baseline Series. Contact Dermatitis 2020. [DOI: 10.1007/978-3-319-72451-5_66-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
12
|
Patch Testing With Formaldehyde 2.0% (0.60 mg/cm2) Detects More Contact Allergy to Formaldehyde Than 1.0%. Dermatitis 2019; 30:342-346. [DOI: 10.1097/der.0000000000000510] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
13
|
Sukakul T, Chaweekulrat P, Limphoka P, Boonchai W. Changing trends of contact allergens in Thailand: A 12‐year retrospective study. Contact Dermatitis 2019; 81:124-129. [DOI: 10.1111/cod.13289] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 04/11/2019] [Accepted: 04/11/2019] [Indexed: 12/24/2022]
Affiliation(s)
- Thanisorn Sukakul
- Department of DermatologyFaculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
| | - Pichanee Chaweekulrat
- Department of DermatologyFaculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
| | - Pichaya Limphoka
- Department of DermatologyFaculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
| | - Waranya Boonchai
- Department of DermatologyFaculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
| |
Collapse
|
14
|
Jiang A, Harrison JC, Siegel PD, Maibach H. Possible role of regional variation in allergic contact dermatitis: case report. Contact Dermatitis 2018; 78:228-229. [PMID: 29430710 DOI: 10.1111/cod.12906] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Accepted: 09/15/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Austin Jiang
- University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA
| | - Joel C Harrison
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095, Morgantown, WV, 26505, USA
| | - Paul D Siegel
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095, Morgantown, WV, 26505, USA
| | - Howard Maibach
- Department of Dermatology, University of California, San Francisco, CA, 94143, USA
| |
Collapse
|
15
|
Venables Z, Bourke J, Buckley D, Campbell F, Chowdhury M, Abdul-Ghaffar S, Green C, Holden C, McFadden J, Orton D, Sabroe R, Sansom J, Stone N, Wakelin S, Wilkinson S, Johnston G. Has the epidemic of allergic contact dermatitis due to methylisothiazolinone reached its peak? Br J Dermatol 2017; 177:276-278. [DOI: 10.1111/bjd.15016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - J.F. Bourke
- South Infirmary; Victoria University Hospital; Cork Ireland
| | | | - F. Campbell
- The Queen Elizabeth University Hospital; Glasgow U.K
| | | | | | - C. Green
- Ninewells Hospital and Medical School; Dundee U.K
| | | | - J. McFadden
- St John's Institute of Dermatology; London U.K
| | - D. Orton
- Hillingdon Hospital; Hillingdon U.K
| | | | - J. Sansom
- Bristol Royal Infirmary; Bristol U.K
| | | | | | | | | |
Collapse
|
16
|
Epidemic of Isothiazolinone Allergy in North America: Prevalence Data From the North American Contact Dermatitis Group, 2013–2014. Dermatitis 2017; 28:204-209. [DOI: 10.1097/der.0000000000000288] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
17
|
Agner T, Aalto-Korte K, Andersen K, Foti C, Gimenéz-Arnau A, Goncalo M, Goossens A, Le Coz C, Diepgen T. Classification of hand eczema. J Eur Acad Dermatol Venereol 2015; 29:2417-22. [DOI: 10.1111/jdv.13308] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 06/18/2015] [Indexed: 11/27/2022]
Affiliation(s)
- T. Agner
- Department of Dermatology; Bispebjerg Hospital; University of Copenhagen Copenhagen Denmark
| | - K. Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health; Helsinki Finland
| | - K.E. Andersen
- Department of Dermatology and Allergy Centre; Odense University Hospital; University of Southern Denmark; Odense Denmark
| | - C. Foti
- Unit of Dermatology; Department of Biomedical Science and Human Oncology; University of Bari; Bari Italy
| | - A. Gimenéz-Arnau
- Department of Dermatology; Hospital del Mar; Institut Mar d′Investigations Mediques; Universitat Autònoma; Barcelona Spain
| | - M. Goncalo
- Department of Dermatology; University Hospital and Faculty of Medicine; University of Coimbra; Coimbra Portugal
| | - A. Goossens
- Department of Dermatology; University Hospital; K. U. Leuven; Leuven Belgium
| | - C. Le Coz
- Cabinet de Dermatologie and Laboratoire de Dermatochimie; Strasbourg France
| | - T.L. Diepgen
- Department of Social Medicine, Occupational and Environmental Dermatology; University Hospital; Heidelberg Germany
| | | |
Collapse
|
18
|
Geier J, Schnuch A, Lessmann H, Uter W. Reactivity to sorbitan sesquioleate affects reactivity to fragrance mix I. Contact Dermatitis 2015; 73:296-304. [DOI: 10.1111/cod.12468] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2015] [Revised: 07/01/2015] [Accepted: 07/28/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Johannes Geier
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| | - Axel Schnuch
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| | - Holger Lessmann
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; University of Erlangen/Nürnberg; 91054 Erlangen Germany
| |
Collapse
|
19
|
Geier J, Uter W, Lessmann H, Schnuch A. Fragrance mix I and II: results of breakdown tests. FLAVOUR FRAG J 2015. [DOI: 10.1002/ffj.3247] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Johannes Geier
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; University of Erlangen/Nürnberg; 91054 Erlangen Germany
| | - Holger Lessmann
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| | - Axel Schnuch
- Information Network of Departments of Dermatology; Georg-August University; 37075 Göttingen Germany
| |
Collapse
|
20
|
Abstract
Hand eczema is an inflammation of the skin; the cause is often multifactorial. Initial management includes avoiding causative irritants or allergens (e.g., by wearing impermeable gloves) and applying emollients and potent topical glucocorticoids.
Collapse
Affiliation(s)
- Pieter-Jan Coenraads
- Department of Dermatology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
| |
Collapse
|
21
|
Hamann C, Zimerson E, Hamann D, Laugesen L, Carlsson B, Nathansen C, Hamann C, Bruze M. Concentration variability of potent allergens of p-tert-butylphenol-formaldehyde resin (PTBP-FR) in patch test preparations and commercially available PTBP-FR. Br J Dermatol 2012; 166:761-70. [DOI: 10.1111/j.1365-2133.2011.10781.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|