Occupational allergic contact dermatitis to sodium lauroyl sarcosinate in the liquid soap. Contact Dermatitis

Indiana University East, Ричмонд, Indiana, United States
Contact Dermatitis (Impact Factor: 3.75). 04/2005; 52(3):166-7. DOI: 10.1111/j.0105-1873.2005.0548h.x
Source: PubMed
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    ABSTRACT: The dermatologist should be aware of the many facets of occupational skin diseases, which can be caused by physical, chemical, and biological insults. The most common manifestation of occupational skin diseases is contact dermatitis (both irritant and allergic). Three factors point out the importance of occupational skin diseases as diseases that have a public health impact: 1) occupational skin diseases are common; 2) they often have a poor prognosis; and 3) they result in a noteworthy economic impact for society and for an individual. They are also diseases amenable to public health interventions. Specific industries and exposures may put a worker at risk of occupational contact dermatitis. The accuracy of the diagnosis of occupational contact dermatitis is related to the skill level, experience, and knowledge of the medical professional who makes the diagnosis and confirms the relationship with a workplace exposure. Prevention of occupational contact dermatitis is important, and a variety of prevention strategies are available.
    Dermatologic Therapy 02/2004; 17(3):272-7. DOI:10.1111/j.1396-0296.2004.04032.x · 1.60 Impact Factor
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    ABSTRACT: The aim of this article is to review recent findings in contact allergy, regarding clinical research. The biocide methyldibromo glutaronitrile was identified to be an important sensitizer. Subsequently, it was banned from leave-on cosmetics in the European Union. Another group of important allergens that have been studied extensively included the fragrances oak moss absolute, isoeugenol, hydroxyisohexyl 3-cyclohexene carboxaldehyde and farnesol. A new fragrance mix II has been developed for standard testing, which includes the two latter compounds. Dose response studies have demonstrated broad individual variation of elicitation thresholds, dependent on the allergen concentration during induction, and other factors. Some unsuspected routes of exposure to allergens include oral, inhalational, connubial or airborne contact. Experimental studies provide a classification of newly introduced chemicals; increasingly, the local lymph node assay is supplementing and potentially replacing the guinea pig maximization test. Recent advances in occupational contact allergy include, for example, some attempts to improve diagnostics for epoxy resin and other plastic, glue, and cutting fluid components. Constant awareness for new allergens, confirmed by critical evaluation, standardization of patch test materials, and the identification of temporal patterns and subgroups at risk will improve both the diagnosis and prevention of allergic contact dermatitis.
    Current Opinion in Allergy and Clinical Immunology 11/2005; 5(5):429-36. DOI:10.1097/01.all.0000182548.60595.80 · 3.57 Impact Factor
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    ABSTRACT: Occupational contact dermatitis is the most frequent type of skin diseases caused by occupational factors. The frequency varies considerably among professions and is highest in hairdressers, chefs, food handlers, and health care workers. Numerous irritants and contact allergens have to be considered in the pathogenesis and are often highly specific for a particular profession. Therefore, in this chapter, occupational information on the working environment that must be obtained for the diagnostic workup is discussed in detail. Careful patch testing, particularly with the worker’s own materials, must be performed to identify relevant contact allergens. The prognosis depends on the diagnosis: slight forms of irritant contact dermatitis can usually be well treated with gloves and avoidance of major irritants. If an occupational contact allergen’s exposure to skin cannot be eliminated or reduced, the worker has to surrender this occupation. Most difficult to treat are the not rare combined forms of allergic and irritant contact dermatitis. A multidisciplinary approach of dermatologists, technicians, and health pedagogues in “eczema schools” is then necessary.
    Contact Dermatitis, 01/2006: pages 717-734; , ISBN: 978-3-540-24471-4