On the chemical nature of the eczematogens in oil of turpentine. V. Pattern of sensitivity to different terpenes

One hundred years of allergic contact dermatitis due to oxidized terpenes: What we can learn from old research on turpentine allergy

Although in recent years the focus on sensitizing terpene oxidation products has been on oxidized limonene and linalool, the autoxidation of terpenes in relation to allergic contact dermatitis is not new and dates back to the early part of the 20th century with the use of turpentine causing occupational contact dermatitis in painters. This review is written in a way as to allow us to get closer to the work of the scientists in earlier days, to participate in the successes, and also to observe the weak points. The researchers concluded that the main culprit in Scandinavian turpentine was Δ³ -carene hydroperoxides. This explains its high sensitizing effect compared with French turpentine which is of the Iberian type with no or only traces of Δ³ -carene. Historical exposure to turpentine showed that ending the industrial exposure stopped the occupational skin sensitization. Patch test studies demonstrated that monoterpene hydroperoxides, far from being an obsolete source of contact allergy solely related to turpentine, is a common cause of contact allergy in the population. A hundred years of extensive chemical and clinical studies worldwide should be sufficient to meet the evidence requirement regarding allergic contact dermatitis caused by terpenes. HIGHLIGHTS: The autoxidation of terpenes in relation to allergic contact dermatitis is not new and dates back to the early part of the 20th century with the use of turpentine. The main culprit in Scandinavian turpentine was Δ³ -carene hydroperoxides. This explains its high sensitizing effect compared with French turpentine with no or only traces of Δ³ -carene. Recent patch test studies demonstrated that monoterpene hydroperoxides, far from being an obsolete source of contact allergy solely related to turpentine, is a common cause of contact allergy in the population.

The diagnosis and management of solvent-related disorders

Millions of workers in the United States are recurrently exposed to solvents throughout their working lives. Members of this class of compounds share the ability to dissolve waxes, fats, and oils as their common characteristic. This review offers the health practitioner a practical approach to the diagnosis, management, and prevention of solvent-related disorders that result from exposures to these compounds in the workplace. A description of commonly used solvents is provided, along with a brief review of the literature that documents their acute and chronic effects on health.

Transient re-emergence of oil of turpentine allergy in the pottery industry

Allergy to oil of turpentine has diminished largely due to the use of cheaper substitutes in many occupations. However, 2 particular areas still reliant on real oil of turpentine are those of the perfume industry and ceramic decoration. We report 24 cases of hand dermatitis in pottery workers involved in ceramic decoration, paintresses, liners, gilders, enamellers and a fine china painter, seen in a 6-month period following a change from Portuguese to Indonesian turpentine, of whom 14 were sensitive to Indonesian turpentine, 8 to alpha-pinene, 4 to delta-3-carene and 2 positive to turpentine peroxides. Previous reports suggest that delta-3-carene is the main allergen and reports of sensitivity to alpha-pinene in the absence of sensitivity to turpentine peroxide, in particular to the hydroperoxide of delta-3-carene, are few. Turpentine allergy continues to be a problem in the pottery industry and is more common than allergy to the heavy metals of the colours used in ceramic decoration. alpha-Pinene, an unusual allergen, appears to be the most common in our area. Reversion to Portuguese turpentine seems to have alleviated the problem.

Melaleuca oil (tea tree oil) dermatitis

BACKGROUND

Melaleuca oil (tea tree oil) is the essential oil distilled from the leaves of Melaleuca alternifolia Cheel. Tea tree oil is popular for treating various cutaneous maladies.

OBJECTIVE

Our purpose was to determine which constituent compounds of Melaleuca oil are responsible for allergic contact eczema in seven patients who became sensitized.

METHODS

The seven patients were patch tested with Finn Chambers to a 1% solution (vol/vol) of melaleuca oil and 1% solutions (vol/vol) of 11 constituent compounds.

RESULTS

Of seven patients reactive to the 1% melaleuca oil solution, six patients also reacted to limonene, five to alpha-terpinene and aromadendrene, 2 to terpinen-4-ol, and one each to p-cymene and alpha-phellandrene. d-Carvone, an autooxidative derivative of limonene, caused no reactions among the seven patients.

CONCLUSION

d-Limonene was the most common allergen causing allergic contact eczema in our patients. Clinicians are likely to see more contact eczema caused by the increasing use of this popular nostrum.

Rosin allergy: identification of a dehydroabietic acid peroxide with allergenic properties

A peroxide of dehydroabietic acid was isolated from rosin using flash chromatography and preparative HPLC. It was identified by 1H-NMR and MS. In animal experiments, this peroxide cross-reacted with a previously identified allergen in rosin, 15-hydroperoxyabietic acid (15-HPA), despite differences in molecular weight and unsaturation. Both substances are able to react via a radical mechanism generating structurally similar molecules. In patch testing of patients, no reactions were observed to the peroxide. Low skin penetration of the peroxide could be the explanation for this. The peroxide seems of little clinical importance. The observed cross-reactivity is an indication of antigen generation via a radical mechanism. Only a few compounds that react with radical mechanisms to form antigens are described in the literature.

Mutagenic compounds in wood-chip drying fumes

The mutagenicity of fumes from the heating of freshly cut spruce and birch chips was measured with Salmonella typhimurium strains TA98, TA100 and TA102. The bacteria were exposed directly and indirectly to the fumes. Wood chips were also extracted with solvents. No mutagenicity was found in wood extracts or the fume samples measured indirectly. The results from the direct exposure experiments indicate, however, that drying spruce and birch at 170 degrees C emits mutagenic compounds, which are short-lived and/or volatile. One of the mutagenic compounds of the fumes is probably 3-carene. These results are consistent with previous epidemiological findings, which suggest that these fumes are carcinogenic.

Allergy to oil of turpentine in Portugal

Oil of turpentine is still a common allergen in Portugal although it does not contain delta 3-carene, as ascertained by gas chromatography. Patch tests with 6 terpenes on 22 patients revealed that 17 were allergic to alpha-pinene and 15 to dipentene; 12 were allergic to both. 4 patients were sensitive to delta 3-carene, 3 to alpha-terpineol and 2 to beta-pinene. These results explain the incidence of allergy to oil of turpentine in Portugal.

Contact allergy to petrolatums. (II). Attempts to identify the nature of the allergens

Using several chromatographic and spectrometric procedures, it was established that the allergens present in pharmaceutical and cosmetic petrolatums are probably polycyclic aromatic hydrocarbons. These substances are impurities, and the quantity present is largely a function of the source of the petrolatum and the purification procedures. As the aromatic portion in petrolatum is a very complex and unstable mixture of chemically-related agents, only 2 out of the several possible allergens present could be identified: they were most probably phenanthrene derivatives with molecular weights of 230 and 244.

Allergic contact dermatitis from cardamom

A case is presented of a confectioner with a chronic hand dermatitis and positive patch test reactions to cardamom and certain terpenoid compounds present in the dried ripe seeds of cardamom. Cardamom is a popular traditional flavouring agent for baked goods and confectionery. Dermatitis from skin exposure to cardamom has to the best of our knowledge not been reported. We report one case of allergic contact dermatitis to cardamom elicited by terpenes present in the seeds.