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Ljungberg Silic L, Persson C, Pesonen M, Suuronen K, Svedman C, Bergendorff O. 2-Cyanoethyl dimethyldithiocarbamate, a new contact allergen found in accelerator-free nitrile gloves. Contact Dermatitis 2024. [PMID: 38602297 DOI: 10.1111/cod.14553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/12/2024] [Accepted: 03/19/2024] [Indexed: 04/12/2024]
Abstract
BACKGROUND Allergic contact dermatitis (ACD) from rubber glove usage is usually caused by rubber additives such as the accelerators. However, in analyses of the suspected gloves, ordinary rubber allergens are not always found. Accelerator-free rubber gloves are available, but some patients with accelerator allergy do not tolerate them and might also be patch test positive to them. OBJECTIVES To identify and chemically characterize a new allergen, 2-cyanoethyl dimethyldithiocarbamate (CEDMC), in rubber gloves. We describe two patient cases: patient 1 that led us to the identification of CEDMC and patient 2 with occupational ACD caused by CEDMC. METHODS The patients were examined with patch testing including baseline and rubber series, and their own rubber gloves. High-performance liquid chromatography (HPLC) was used for chemical analysis of rubber gloves. The allergen was synthesized and identified by nuclear magnetic resonance, mass spectrometry and infrared spectrometry, and tested on patient 2. RESULTS CEDMC was identified by HPLC in a nitrile glove associated with hand eczema in patient 1. Patient 2 whose nitrile gloves contained CEDMC was patch test positive to CEDMC. CONCLUSIONS CEDMC is a new contact allergen in nitrile gloves and probably forms during vulcanization from residual monomer acrylonitrile and rubber additives.
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Affiliation(s)
- Linda Ljungberg Silic
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - Christina Persson
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Katri Suuronen
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Cecilia Svedman
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - Ola Bergendorff
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
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2
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Suuronen K, Ylinen K, Heikkilä J, Mäkelä E, Vastapuu R, Aalto-Korte K, Pesonen M. Acrylates in artificial nails-Results of product analyses and glove penetration studies. Contact Dermatitis 2024; 90:266-272. [PMID: 38093646 DOI: 10.1111/cod.14474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/09/2023] [Accepted: 11/28/2023] [Indexed: 02/13/2024]
Abstract
BACKGROUND Artificial nail materials are mixtures that are prone to contain several sensitizing (meth)acrylates. It is not known whether the listing of (meth)acrylates is correct in these products' packages. Protective gloves suited for nail work are needed. OBJECTIVES To analyse (meth)acrylates in gel nail and acrylic nail products chemically and to compare the results with the information in the product labels, and to study penetration of artificial nail materials through selected disposable gloves. METHODS We analysed 31 gel nail products and 6 acrylic nail products for their (meth)acrylate content by gas chromatography-mass spectrometry (GC-MS). We tested the penetration of two nail products through three disposable gloves: nitrile rubber, neoprene rubber and polyvinyl chloride (PVC). RESULTS Altogether 32/37 products contained (meth)acrylates. In all of them, there was discrepancy between the listed (meth)acrylates and those discovered in the analysis. The commonest (meth)acrylates were hydroxyethyl methacrylate (HEMA, 20/37 samples) and hydroxypropyl methacrylate (HPMA, 9/37 samples), but many of the product packages failed to declare them. Isobornyl acrylate (IBA) was discovered in nine gel nail products. The neoprene glove could withstand nail gel for 20 min and thin nitrile glove and PVC glove for 5 min. Acrylic nail liquid penetrated through disposable gloves quickly. CONCLUSIONS Labelling of artificial nail products was notably incorrect on most products. Requirements for product labelling must be updated so that the risk of sensitization associated with artificial nail products is clearly indicated. Disposable gloves can probably be used short-term in gel nail work, whereas disposable gloves do not protect the user from acrylic nail liquids.
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Affiliation(s)
- Katri Suuronen
- Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Katriina Ylinen
- Work Environment Laboratories, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Jaakko Heikkilä
- Work Environment Laboratories, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Erja Mäkelä
- Occupational Safety, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Raija Vastapuu
- Work Environment Laboratories, Finnish Institute of Occupational Health, Helsinki, Finland
| | | | - Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
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3
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Pesonen M, Ylinen K, Suomela S, Suuronen K. Occupational contact allergy to benzyl alcohol in epoxy hardeners. Contact Dermatitis 2023; 89:507-509. [PMID: 37700372 DOI: 10.1111/cod.14415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 08/29/2023] [Indexed: 09/14/2023]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Katriina Ylinen
- Work Environment Laboratories, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Sari Suomela
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Katri Suuronen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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Bauer A, Pesonen M, Brans R, Caroppo F, Dickel H, Dugonik A, Larese Filon F, Geier J, Gimenez-Arnau AM, Napolitano M, Patruno C, Rustemeyer T, Simon D, Schuttelaar MLA, Spiewak R, Stingeni L, Vok M, Weisshaar E, Wilkinson M, Valiukeviciene S, Uter W. Occupational contact allergy: The European perspective-Analysis of patch test data from ESSCA between 2011 and 2020. Contact Dermatitis 2023; 88:263-274. [PMID: 36694979 DOI: 10.1111/cod.14280] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/17/2023] [Accepted: 01/19/2023] [Indexed: 01/26/2023]
Abstract
BACKGROUND Occupational skin diseases have led the occupational disease statistics in Europe for many years. Especially occupational allergic contact dermatitis is associated with a poor prognosis and low healing rates leading to an enormous burden for the affected individual and for society. OBJECTIVES To present the sensitization frequencies to the most relevant allergens of the European baseline series in patients with occupational contact dermatitis (OCD) and to compare sensitization profiles of different occupations. METHODS The data of 16 022 patients considered having OCD after patch testing within the European Surveillance System on Contact Allergies (ESSCA) network between January 2011 and December 2020 were evaluated. Patients (n = 46 652) in whom an occupational causation was refuted served as comparison group. RESULTS The highest percentages of OCD were found among patients working in agriculture, fishery and related workers, metal industry, chemical industry, followed by building and construction industry, health care, food and service industry. Sensitizations to rubber chemicals (thiurams, carbamates, benzothiazoles) and epoxy resins were associated with at least a doubled risk of OCD. After a decline from 2014 onwards, the risks to acquire an occupation-related sensitization to methyl(chloro)isothiazolinone (MCI/MI) and especially to methylisothiazolinone (MI) seem to increase again. Sensitization rates to formaldehyde were stable, and to methyldibromo glutaronitrile (MDBGN) slightly decreasing over time. CONCLUSIONS Among allergens in the European Baseline Series, occupational relevance is most frequently attributed to rubber accelerators, epoxy resins and preservatives.
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Affiliation(s)
- Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany
| | - Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Richard Brans
- Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany.,Germany and Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), University of Osnabrück, Osnabrück, Germany
| | - Francesca Caroppo
- Unit of Clinic Dermatology, Department of Medicine DIMED, University of Padova, Padova, Italy
| | - Heinrich Dickel
- Department of Dermatology, Venereology and Allergology, St. Josef Hospital, University Medical Center, Ruhr University Bochum, Bochum, Germany
| | | | - Francesca Larese Filon
- Department of Public Health, Occupational Medicine, University of Trieste, Trieste, Italy
| | - Johannes Geier
- Information Network of Department of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany
| | | | - Maddalena Napolitano
- Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy
| | - Cataldo Patruno
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Thomas Rustemeyer
- Department of Dermatology and Allergology, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | - Dagmar Simon
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Marie L A Schuttelaar
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Radoslaw Spiewak
- Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland
| | - Luca Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Marko Vok
- Dermatovenerološka ambulanta, Izola, Slovenia
| | - Elke Weisshaar
- Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
| | | | - Skaidra Valiukeviciene
- Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
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Beck LA, Pesonen M, Thakar J, Georas SN, Järvinen KM. IgE Sensitization Drives the Atopic March. Am J Respir Crit Care Med 2023; 207:632-633. [PMID: 36480963 PMCID: PMC10870919 DOI: 10.1164/rccm.202210-2022le] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Affiliation(s)
- Lisa A. Beck
- University of Rochester Medical CenterRochester, New York
| | - Maria Pesonen
- Finnish Institute of Occupational HealthHelsinki, Finland
| | - Juilee Thakar
- University of Rochester Medical CenterRochester, New York
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Aalto-Korte K, Pesonen M. The additive value of patch testing non-commercial test substances and patients' own products in a clinic of occupational dermatology. Contact Dermatitis 2022; 88:27-34. [PMID: 35864599 PMCID: PMC10087703 DOI: 10.1111/cod.14191] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 07/12/2022] [Accepted: 07/13/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Commercial patch test substances don't cover all occupational contact allergens. Workplace materials and in-house test substances are tested to complement the investigation of occupational skin disease (OSD). OBJECTIVES To quantify the additional value of testing workplace materials and non-commercial in-house test substances in the diagnosis of OSD. MATERIALS AND METHODS Patients files of 544 patients patch tested at the Finnish Institute of Occupational Health in 2015-2019 were reviewed for occupation, diagnoses, and patch test results. RESULTS OSD was diagnosed in 353 (64.9%) of the patients. 206 (37.9%) patients had occupational allergic contact dermatitis (OACD). In 19 (3.5%) patients, the only clues to the diagnoses of OACD were positive reactions to workplace materials, and in 20 (3.7%) patients, the diagnosis of OACD was based on commercially unavailable test substances. In 167 OACD cases diagnosed by commercial test substances, additional causes were found in 17 by testing patients' own and non-commercial test substances. In 43 (7.9%) cases, positive reactions to workplace materials reinforced diagnoses based on commercial test substances. The overall additive value of testing own products was 16.7% (91 cases). CONCLUSIONS We would have missed 39 (18.9%) of our 206 OACD cases if we had solely used commercial test substances. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Kristiina Aalto-Korte
- Finnish Institute of Occupational Health (FIOH), Occupational health unit, Helsinki, Finland
| | - Maria Pesonen
- Finnish Institute of Occupational Health (FIOH), Occupational health unit, Helsinki, Finland
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Pesonen M, Kallio MJT, Ranki A, Siimes MA, Järvinen KM. Early-onset atopic dermatitis and food hypersensitivity increase the risk of atopic march. Clin Exp Allergy 2022; 52:1110-1113. [PMID: 35730546 PMCID: PMC9545959 DOI: 10.1111/cea.14189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 06/14/2022] [Accepted: 06/17/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Maria Pesonen
- Finnish Institute of Occupational Health, Occupational Health Unit, Helsinki, Finland
| | - Markku J T Kallio
- Hospital for Children and Adolescents, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Annamari Ranki
- Department of Dermatology and Allergology, University of Helsinki and Helsinki University Hospital HUS, Helsinki, Finland
| | - Martti A Siimes
- Hospital for Children and Adolescents, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Kirsi M Järvinen
- Department of Pediatrics, Division of Allergy and Immunology & Center for Food Allergy, University of Rochester Medical Center, Rochester, New York, USA
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8
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Uter W, Wilkinson SM, Aerts O, Bauer A, Borrego L, Brans R, Buhl T, Dickel H, Dugonik A, Filon FL, Garcìa PM, Giménez-Arnau A, Patruno C, Pesonen M, Pónyai G, Rustemeyer T, Schubert S, Schuttelaar MLA, Simon D, Stingeni L, Valiukevičienė S, Weisshaar E, Werfel T, Gonçalo M. Patch test results with the European baseline series, 2019/20-Joint European results of the ESSCA and the EBS working groups of the ESCD, and the GEIDAC. Contact Dermatitis 2022; 87:343-355. [PMID: 35678309 DOI: 10.1111/cod.14170] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 05/06/2022] [Accepted: 06/06/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Continual analyses of patch test results with the European baseline series (EBS) serve both contact allergy surveillance and auditing the value of included allergens. OBJECTIVES To present results of current EBS patch testing, obtained in 53 departments in 13 European countries during 2019 and 2020. METHODS Anonymised or pseudonymised individual data and partly aggregated data on demographic/clinical characteristics and patch test rest results with the EBS were prospectively collected and centrally pooled and analysed. RESULTS In 2019 and 2020, 22 581 patients were patch tested with the EBS. Sensitization to nickel remained most common (19.8 [19.2-20.4]% positivity [95% confidence interval]). Fragrance mix I and Myroxylon pereirae yielded very similar results with 6.80 (6.43-7.19)% and 6.62 (6.25-7.00)% positivity, respectively. Formaldehyde at 2% aq. yielded almost one percentage point more positive reactions than 1% concentration (2.49 [2.16-2.85]% vs. 1.59 [1.33-1.88]); methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) and MI alone up to around 5% positives. Among the new additions, propolis was most commonly positive (3.48 [3.16-3.82]%), followed by 2-hydroxyethyl methacrylate (2.32 [2.0-2.68]%). CONCLUSION Ongoing surveillance on the prevalence of contact sensitization contributes to an up-to-date baseline series containing the most frequent and/or relevant contact sensitizers for routine patch testing in Europe.
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Affiliation(s)
- Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - S Mark Wilkinson
- Dermatology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Olivier Aerts
- Department of Dermatology, University Hospital Antwerp (UZA) and Research group Immunology, Infla-Med Centre of Excellence, University of Antwerp, Antwerp, Belgium
| | - Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany
| | - Leopoldo Borrego
- Complejo Hospitalario Universitario Insular Materno Infantil, Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Richard Brans
- Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany
| | - Timo Buhl
- Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Göttingen, Germany
| | - Heinrich Dickel
- Department of Dermatology, Venereology and Allergology, St. Josef Hospital, University Medical Center, Ruhr University Bochum, Bochum, Germany
| | - Aleksandra Dugonik
- Department of Dermatology, University Medical Centre Maribor, Maribor, Slovenia
| | - Francesca Larese Filon
- Department of Public Health, Occupational Medicine, University of Trieste, Trieste, Italy
| | | | - Ana Giménez-Arnau
- Department of Dermatology, Hospital del Mar, Institut Mar d´Investigacions Mèdiques, Universitat Pompeu Fabra de Barcelona, Barcelona, Spain
| | - Cataldo Patruno
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Maria Pesonen
- Division Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Györgyi Pónyai
- Department of Dermatology, Venerology and Dermato-oncology, Semmelweis University, Budapest, Hungary
| | - Thomas Rustemeyer
- Department of Dermatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | - Steffen Schubert
- Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Centre Göttingen, Göttingen, Germany
| | - Marie-L A Schuttelaar
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Dagmar Simon
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Luca Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Skaidra Valiukevičienė
- Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Elke Weisshaar
- Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
| | - Thomas Werfel
- Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany
| | - Margarida Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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Suomela S, Pesonen M, Ylinen K, Aalto-Korte K, Suuronen K. Characterization of patients with occupational allergy to two new epoxy hardener compounds. Contact Dermatitis 2022; 87:81-88. [PMID: 35293005 PMCID: PMC9321617 DOI: 10.1111/cod.14109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 03/09/2022] [Accepted: 03/14/2022] [Indexed: 11/28/2022]
Abstract
Background The practical importance of two recently described epoxy hardener allergens—1,3‐benzenedimethanamine, N‐(2‐phenylethyl) derivatives (1,3‐BDMA‐D) and hydrogenated formaldehyde benzenamine polymer (FBAP)—as occupational allergens remains to be defined. Objectives To describe patients diagnosed at the Finnish Institute of Occupational Health (FIOH) with positive reactions to 1,3‐BDMA‐D or FBAP. Methods We searched FIOH's patch‐test files from January 2017 to December 2020 for patients examined due to suspected occupational contact allergy to epoxy compounds. We analyzed the patch‐test results and sources of exposure to various epoxy hardeners and focused on occupations, symptoms, and the sources of exposure to 1,3‐BDMA‐D and FBAP. Results During the study period, 102 patients were examined at FIOH for suspected occupational contact allergy to epoxy compounds. Of these, 19 (19%) were diagnosed with contact allergy to 1,3‐BDMA‐D (n = 10) or FBAP (n = 12). The largest occupational group was sewage pipe reliners (n = 8). Seven different hardener products contained FBAP, whereas 1,3‐BDMA‐D was present in only one hardener used by spray painters. Conclusions A substantial number of patients with suspected occupational epoxy resin system allergy tested positive to in‐house test substances of 1,3‐BDMA‐D and/or FBAP.
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Affiliation(s)
- Sari Suomela
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Katriina Ylinen
- Work Environment Laboratories, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Katri Suuronen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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10
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Uter W, Wilkinson SM, Aerts O, Bauer A, Borrego L, Buhl T, Cooper SM, Dickel H, Gallo R, Giménez-Arnau AM, John SM, Navarini AA, Pesonen M, Pónyai G, Rustemeyer T, Schliemann S, Schubert S, Schuttelaar MLA, Valiukevičienė S, Wagner N, Weisshaar E, Gonçalo M. European patch test results with audit allergens as candidates for inclusion in the European Baseline Series, 2019/20 - Joint results of the ESSCA A and the EBS B working groups of the ESCD, and the GEIDAC C. Contact Dermatitis 2022; 86:379-389. [PMID: 35099073 DOI: 10.1111/cod.14059] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 01/25/2022] [Accepted: 01/26/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND In 2019, a number of allergens (haptens), henceforth, 'the audit allergens,' were considered as potential additions to the European baseline series (EBS), namely, sodium metabisulfite, 2-bromo-2-nitropropane-1,3-diol, diazolidinyl urea, imidazolidinyl urea, Compositae mix II (2.5 or 5% pet), linalool hydroperoxides (lin-OOH), limonene hydroperoxides (lim-OOH), benzisothiazolinone (BIT), octylisothiazolinone (OIT), decyl glucoside, lauryl glucoside; Evernia furfuracea (tree moss), was additionally tested by some departments, too. OBJECTIVES To collect further data on patch test reactivity and clinical relevance of the audit allergens in consecutive patients across Europe. METHODS Patch test data covering the audit allergens in 2019 and 2020 were collected by those departments of the ESSCA testing these, as well as further collaborators from the EBS working group of the ESCD, and the Spanish GEIDAC. As patch test outcome, reactions between day (D) 3 and D5 were considered. RESULTS Altogether n=12403 patients were tested with any of the audit allergen. Positive reactions were most common to lin-OOH 1% pet. (8.74 (8.14-9.37)), followed by lin-OOH 0.5% pet., and lim-OOH 0.3% pet (5.41 (4.95-5.89)). Beyond these terpene hydroperoxides, BIT 0.1% pet. was the second most common allergen with 4.72 (4.2-5.28), followed by sodium metabisulfite 1% pet. (3.75 (3.32-4.23)) and Compositae mix 5% pet. (2.31 (1.84-2.87). For some allergens, clinical relevance was frequently difficult to ascertain. CONCLUSIONS Despite many positive patch test reactions, it remains controversial whether lin- and lim-OOH should be tested routinely, while at least the two preservatives BIT and sodium metabisulfite appear suitable. The present results are a basis for further discussion among the ESCD members and ultimately decision on their implementation into routine testing. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany
| | - S Mark Wilkinson
- Dermatology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Olivier Aerts
- Department of Dermatology, University Hospital Antwerp (UZA) and Research group Immunology, Infla-Med Centre of Excellence, University of Antwerp, Antwerp, Belgium
| | - Andrea Bauer
- Department of Dermatology, University Allergy Centre, Medical Faculty Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Leopoldo Borrego
- Complejo Hospitalario Universitario Insular Materno Infantil. Universidad de las Palmas de Gran Canaria, Spain
| | - Timo Buhl
- Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany
| | - Susan M Cooper
- Department of Dermatology, Oxford University Hospitals NHS Trust, Oxford, UK
| | - Heinrich Dickel
- Department of Dermatology, Venereology and Allergology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany
| | - Rosella Gallo
- Clinica Dermatologica, Department of Health Sciences, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Ana M Giménez-Arnau
- Department of Dermatology, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Swen M John
- Department of Dermatology and Environmental Medicine, Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), University of Osnabrück, Osnabrück, Germany.,Lower Saxony Institute for Occupational Dermatology (NIB), Osnabrück, Germany
| | | | - Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Györgyi Pónyai
- Semmelweis University, Department of Dermatology, Venerology and Dermatooncology, Budapest, Hungary
| | - Thomas Rustemeyer
- Department of Dermatology-Allergology, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | | | - Steffen Schubert
- Information Network of Departments of Dermatology, Institute at the University Medical Centre Göttingen, Göttingen, Germany
| | - Marie-Louise A Schuttelaar
- Department of Dermatology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Skaidra Valiukevičienė
- Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Nicola Wagner
- Department of Dermatology, University Hospital of Erlangen, University of Erlangen-, Nuremberg, (FAU), Erlangen, Germany
| | - Elke Weisshaar
- Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
| | - Margarida Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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11
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Aalto-Korte K, Pesonen M. Patterns of positive patch test reactions to formaldehyde and formaldehyde releasers at the Finnish Institute of Occupational Health from 2007 to 2020. Contact Dermatitis 2021; 85:429-434. [PMID: 33934369 DOI: 10.1111/cod.13876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 04/27/2021] [Accepted: 04/28/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Formaldehyde is an important contact sensitizer. Formaldehyde releasing substances induce positive reactions in formaldehyde-allergic patients, but there are also reactions independent of formaldehyde allergy. In an earlier study, stronger formaldehyde reactions led to more positive reactions to quaternium-15. OBJECTIVES To analyze patterns of positive patch test reactions to formaldehyde and different formaldehyde releasers. METHODS Patch test files of 1497 patients investigated during the period November 2007-August 2020 were retrospectively reviewed for positive reactions to formaldehyde and its releasers. During the study period, almost all (≥99.3%) patients were tested with a formaldehyde dilution series and six formaldehyde releasers. RESULTS Ninety-three patients tested positive to formaldehyde; 80% of these had positive reactions to at least one formaldehyde releaser, most often benzylhemiformal. There were only nine independent contact allergies to formaldehyde releasers. There were only two reactions to 2-bromo-2-nitropropane-1,3-diol and they occurred in formaldehyde-negative patients. In patients with extreme (+++) reactions to formaldehyde, concomitant positive reactions to any of the other 11 investigated formaldehyde releasers were more common than in patients with milder formaldehyde reactions. CONCLUSIONS Strong formaldehyde reactions were associated with positive reactions to formaldehyde releasers.
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Affiliation(s)
- Kristiina Aalto-Korte
- Finnish Institute of Occupational Health (FIOH), Occupational Health Unit, Helsinki, Finland
| | - Maria Pesonen
- Finnish Institute of Occupational Health (FIOH), Occupational Health Unit, Helsinki, Finland
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12
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Loman L, Uter W, Armario‐Hita JC, Ayala F, Balato A, Ballmer‐Weber BK, Bauer A, Bircher AJ, Buhl T, Czarnecka‐Operacz M, Dickel H, Fuchs T, Giménez Arnau A, John SM, Kränke B, Kręcisz B, Mahler V, Rustemeyer T, Sadowska‐Przytocka A, Sánchez‐Pérez J, Scherer Hofmeier K, Schliemann S, Simon D, Spiewak R, Spring P, Valiukevičienė S, Wagner N, Weisshaar E, Pesonen M, Schuttelaar MLA. European Surveillance System on Contact Allergies (ESSCA): Characteristics of patients patch tested and diagnosed with irritant contact dermatitis. Contact Dermatitis 2021; 85:186-197. [PMID: 33729576 PMCID: PMC8360089 DOI: 10.1111/cod.13833] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 03/07/2021] [Accepted: 03/09/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Irritant contact dermatitis (ICD) is caused by the acute locally toxic effect of a strong irritant, or the cumulative exposure to various weaker physical and/or chemical irritants. OBJECTIVES To describe the characteristics of patients with ICD in the population patch tested in the European Surveillance System on Contact Allergies (ESSCA; www.essca-dc.org) database. METHODS Data collected by the ESSCA in consecutively patch-tested patients from January 2009 to December 2018 were analyzed. RESULTS Of the 68 072 patients, 8702 were diagnosed with ICD (without concomitant allergic contact dermatitis [ACD]). Hand and face were the most reported anatomical sites, and 45.7% of the ICD was occupational ICD (OICD). The highest proportions of OICD were found in metal turners, bakers, pastry cooks, and confectionery makers. Among patients diagnosed with ICD, 45% were found sensitized with no relevance for the current disease. CONCLUSIONS The hands were mainly involved in OICD also in the subgroup of patients with contact dermatitis, in whom relevant contact sensitization had been ruled out, emphasizing the need for limiting irritant exposures. However, in difficult-to-treat contact dermatitis, unrecognized contact allergy, or unrecognized clinical relevance of identified allergies owing to incomplete or wrong product ingredient information must always be considered.
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Affiliation(s)
- Laura Loman
- Department of DermatologyUniversity of Groningen, University Medical Center GroningenGroningenThe Netherlands
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and EpidemiologyFriedrich‐Alexander‐University Erlangen/NürnbergErlangenGermany
| | - José C. Armario‐Hita
- Department of DermatologyUniversity Hospital of Puerto Real, University of CádizCádizSpain
| | - Fabio Ayala
- Department of DermatologyUniversity of Naples Federico IINaplesItaly
| | - Anna Balato
- Department of Advanced Biomedical SciencesUniversity of Naples Federico IINaplesItaly
| | - Barbara K. Ballmer‐Weber
- Department of DermatologyUniversity Hospital ZürichZürichSwitzerland
- Department of DermatologyUniversity Hospital Zürich and Clinic of Dermatology and Allergology, Kantonsspital St GallenZürichSwitzerland
| | - Andrea Bauer
- Department of DermatologyUniversity Hospital Carl Gustav Carus, Technical University of DresdenDresdenGermany
| | - Andreas J. Bircher
- Department of DermatologyAllergy Unit, University Hospital BaselBaselSwitzerland
| | - Timo Buhl
- Department of Dermatology, Venereology and AllergologyUniversity Medical Center GöttingenGöttingenGermany
| | | | - Heinrich Dickel
- Department of Dermatology, Venereology and AllergologyRuhr University BochumBochumGermany
| | - Thomas Fuchs
- Department of Dermatology, Venereology and AllergologyUniversity Medical Center GöttingenGöttingenGermany
| | - Ana Giménez Arnau
- Department of DermatologyHospital del Mar, Universitat Autònoma de BarcelonaBarcelonaSpain
| | - Swen M. John
- Department of Dermatology and Environmental MedicineInstitute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), University of Osnabrück, Lower Saxony Institute for Occupational Dermatology (NIB)OsnabrückGermany
| | - Birger Kränke
- Department of Dermatology and VenereologyMedical University of GrazGrazAustria
| | - Beata Kręcisz
- Faculty of Medicine and Health ScienceInstitute of Medical Science, Jan Kochanowski UniversityKielcePoland
- Department of DermatologyNofer Institute of Occupational MedicineŁódźPoland
| | - Vera Mahler
- Department of DermatologyUniversity Hospital of Erlangen, University of Erlangen‐Nuremberg (FAU)ErlangenGermany
- Division of AllergologyPaul‐Ehrlich‐InstitutLangenGermany
| | - Thomas Rustemeyer
- Department of Dermatology‐Allergology and Occupational DermatologyAmsterdam University Medical CentersAmsterdamThe Netherlands
| | | | | | | | - Sibylle Schliemann
- Department of Dermatology and AllergologyUniversity Hospital JenaJenaGermany
| | - Dagmar Simon
- Department of DermatologyInselspital, Bern University Hospital, University of BernBernSwitzerland
| | - Radoslaw Spiewak
- Department of Experimental Dermatology and Cosmetology, Faculty of PharmacyJagiellonian University Medical CollegeKrakowPoland
| | - Philip Spring
- Dermatologie et vénéréologie FMH, Center Médical d'EpalingesEpalingesSwitzerland
| | - Skaidra Valiukevičienė
- Department of Skin and Venereal DiseasesLithuanian University of Health SciencesKaunasLithuania
| | - Nicola Wagner
- Department of DermatologyUniversity Hospital of Erlangen, University of Erlangen‐Nuremberg (FAU)ErlangenGermany
| | - Elke Weisshaar
- Department of Dermatology, Occupational DermatologyUniversity Hospital HeidelbergHeidelbergGermany
| | - Maria Pesonen
- Division Occupational MedicineFinnish Institute of Occupational HealthHelsinkiFinland
| | - Marie L. A. Schuttelaar
- Department of DermatologyUniversity of Groningen, University Medical Center GroningenGroningenThe Netherlands
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13
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Aalto-Korte K, Pesonen M. Printers' occupational contact dermatitis: 12-year data from the Finnish Register of Occupational Diseases. Contact Dermatitis 2021; 85:233-234. [PMID: 33598983 DOI: 10.1111/cod.13814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 02/12/2021] [Accepted: 02/15/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Kristiina Aalto-Korte
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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14
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Aalto-Korte K, Koskela K, Pesonen M. Allergic contact dermatitis and other occupational skin diseases in health care workers in the Finnish Register of Occupational Diseases in 2005-2016. Contact Dermatitis 2020; 84:217-223. [PMID: 33277706 DOI: 10.1111/cod.13753] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 11/27/2020] [Accepted: 11/30/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Health care workers are an important risk group for occupational skin disease (OSD). AIMS To study diagnoses and causes of OSDs in health care workers in the Finnish Register of Occupational Diseases (FROD) in 2005-2016. METHODS We searched the FROD for dermatological cases (a) in health care-related occupations defined by ISCO-08 and (b) in the industrial branch of health care defined by European industry standard classification system (NACE rev. 2). RESULTS Health care workers comprised 19% of all OSD cases in the FROD, and irritant contact dermatitis dominated the diagnoses. Nurses and assistant nurses were the largest occupational groups with incidence rates of 3.3 and 2.7/10 000 person years, respectively. Rubber chemicals were by far the most common causative agents of allergic contact dermatitis (ACD) followed by preservatives, the latter mainly comprising isothiazolinones and formaldehyde. Acrylates were important allergens in dental professions. Metals and coconut fatty acid derivatives were the next largest causative groups for ACD. Drugs caused only 1% of the ACD cases. CONCLUSIONS Workers in different health care occupations do not have a uniform risk for OSD, but they share the risk for ACD due to rubber chemicals and various preservatives.
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Affiliation(s)
- Kristiina Aalto-Korte
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Kirsi Koskela
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Tampere, Finland
| | - Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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15
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Pesonen M, Aalto-Korte K. Occupational allergic contact dermatitis and contact urticaria caused by indoor plants in plant keepers. Contact Dermatitis 2020; 83:515-518. [PMID: 32588436 DOI: 10.1111/cod.13647] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 06/23/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Kristiina Aalto-Korte
- Occupational Health Unit, Finnish Institute of Occupational Health, Helsinki, Finland
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16
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Pesonen M, Koskela K, Aalto-Korte K. Hairdressers' occupational skin diseases in the Finnish Register of Occupational Diseases in a period of 14 years. Contact Dermatitis 2020; 84:236-239. [PMID: 33104233 DOI: 10.1111/cod.13732] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 10/20/2020] [Accepted: 10/22/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hairdressers have a high risk of occupational contact dermatitis caused by exposure to wet work and allergens in hairdressing chemicals. OBJECTIVES To examine the distribution of diagnoses of occupational skin diseases (OSDs) and their main causes in hairdressers based on a national register data on occupational diseases. METHODS We retrieved cases of recognized OSDs in hairdressers from the Finnish Register of Occupational Diseases (FROD) in years 2005-2018. RESULTS During the 14-year period, a total of 290 cases of recognized OSD in hairdressers were registered in the FROD. Allergic contact dermatitis (ACD) was diagnosed in 54%, irritant contact dermatitis in 44%, and contact urticaria (CU) in 5% of them. ACD was most commonly caused by hair dye products and their ingredients (N = 57), persulfates (N = 35), and preservatives (N = 35; mainly isothiazolinones). Acrylates emerged as hairdressers' occupational contact allergens (N = 8) probably due to introduction of structure nails into hair salons. Persulfates was the most common cause of CU. CONCLUSIONS ACD was the most common OSD in hairdressers. Our analysis confirms that preservatives are important causes of ACD in hairdressers in addition to hair dye products and persulfates. Acrylates emerged as hairdressers' occupational contact allergens, but contact allergy to perming agents remained rare.
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Affiliation(s)
- Maria Pesonen
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Kirsi Koskela
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Tampere, Finland
| | - Kristiina Aalto-Korte
- Occupational Health Unit, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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17
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Jungewelter S, Airaksinen L, Pesonen M. Occupational buckwheat allergy as a cause of allergic rhinitis, asthma, contact urticaria and anaphylaxis-An emerging problem in food-handling occupations? Am J Ind Med 2020; 63:1047-1053. [PMID: 32944967 DOI: 10.1002/ajim.23185] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 09/01/2020] [Accepted: 09/01/2020] [Indexed: 11/11/2022]
Abstract
Buckwheat is a known, though uncommon, allergen in occupational settings. It has recently gained popularity as healthy food and as an ingredient in gluten-free diets. We describe a series of six patient cases with occupational immediate allergy to buckwheat. Three cooks, two bakers, and a worker in a grocery store were occupationally exposed to buckwheat flour and developed immediate allergy to buckwheat, which was confirmed by skin prick testing and measurement of specific immunoglobulin E antibodies. Four of the patients were diagnosed with occupational asthma, four with occupational rhinitis, and two with occupational contact urticaria caused by buckwheat. Three of the six patients suffered anaphylaxis as consequence of their occupational buckwheat allergy after ingestion of food that contained buckwheat. The high rate of life-threatening reactions, together with a short exposure time to buckwheat before sensitization occurred in these cases, highlights the importance of a detailed occupational history and a high index of suspicion for occupational food allergens.
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Affiliation(s)
- Soile Jungewelter
- Occupational Medicine Finnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Liisa Airaksinen
- Occupational Medicine Finnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Maria Pesonen
- Occupational Medicine Finnish Institute of Occupational Health (FIOH) Helsinki Finland
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18
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Whitehouse H, Uter W, Geier J, Ballmer-Weber B, Bauer A, Cooper S, Czarnecka-Operacz M, Dagmar S, Dickel H, Fortina AB, Gallo R, Giménez-Arnau AM, Johnston GA, Filon FL, Mahler V, Pesonen M, Rustemeyer T, Schuttelaar MLA, Valiukevičienė S, Weisshaar E, Werfel T, Wilkinson M. Formaldehyde 2% is not a useful means of detecting allergy to formaldehyde releasers- results of the ESSCA network, 2015-2018. Contact Dermatitis 2020; 84:95-102. [PMID: 32876992 DOI: 10.1111/cod.13691] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 08/13/2020] [Accepted: 08/26/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Studies suggest that patch testing with formaldehyde releasers (FRs) gives significant additional information to formaldehyde 1% aq. and should be considered for addition to the European baseline series (EBS). It is not known if this is also true for formaldehyde 2% aq. OBJECTIVES To determine the frequency of sensitization to formaldehyde 2% aq. and co-reactivity with FRs. To establish whether there is justification for including FRs in the EBS. MATERIALS AND METHODS A 4-year, multi-center retrospective analysis of patients with positive patch test reactions to formaldehyde 2% aq. and five FRs. RESULTS A maximum of 15 067 patients were tested to formaldehyde 2% aq. and at least one FR. The percentage of isolated reactions to FR, without co-reactivity to, formaldehyde 2% aq. for each FR were: 46.8% for quarternium-15 1% pet.; 67.4% imidazolidinyl urea 2% pet.; 64% diazolidinyl urea 2% pet.; 83.3% 1,3-dimethylol-5, 5-dimethyl hydantoin (DMDM) hydantoin 2% pet. and 96.3% 2-bromo-2-nitropropane-1,3-diol 0.5% pet. This demonstrates that co-reactivity varies between FRs and formaldehyde, from being virtually non-existent in 2-bromo-2-nitropropane-1,3-diol 0.5% pet. (Cohen's kappa: 0, 95% confidence interval [CI] -0.02 to 0.02)], to only weak concordance for quaternium-15 [Cohen's kappa: 0.22, 95%CI 0.16 to 0.28)], where Cohen's kappa value of 1 would indicate full concordance. CONCLUSIONS Formaldehyde 2% aq. is an inadequate screen for contact allergy to the formaldehyde releasers, which should be considered for inclusion in any series dependant on the frequency of reactions to and relevance of each individual allergen.
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Affiliation(s)
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany
| | - Johannes Geier
- Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany
| | - Barbara Ballmer-Weber
- Clinic for Dermatology and Allergology, Kantonsspital St. Gallen, St. Gallen, Switzerland.,Allergy Unit, Department of Dermatology, University Hospital Zürich, Zürich, Switzerland
| | - Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - Susan Cooper
- Dermatology Department, Oxford University Hospitals NHS Trust, Oxford, UK
| | | | - Simon Dagmar
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Heinrich Dickel
- Department of Dermatology, Venereology and Allergology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany
| | - Anna Belloni Fortina
- Pediatric Dermatology Unit, Department of Medicine DIMED, University of Padova, Padova, Italy
| | - Rosella Gallo
- Clinica Dermatologica, Department of Health Sciences, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Ana M Giménez-Arnau
- Department of Dermatology, Hospital del Mar, Universitat Autónoma, Barcelona, Spain
| | | | - Francesca Laresse Filon
- Unit of Occupational Medicine, Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - Vera Mahler
- Department of Dermatology, University Hospital Erlangen, Medical Faculty Friedrich-Alexander University, Erlangen-Nuremberg, Germany.,Paul-Ehrlich-Institut, Langen, Germany
| | - Maria Pesonen
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Thomas Rustemeyer
- Department of Dermatology, Free University of Amsterdam, Amsterdam, The Netherlands
| | - Marie L A Schuttelaar
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Skaidra Valiukevičienė
- Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Elke Weisshaar
- Department of Dermatology, Occupational Dermatology, University Hospital Heidelberg, Heidelberg, Germany
| | - Thomas Werfel
- Department of Immunodermatology and Experimental Allergy, Medizinische Hochschule Hannover, Hannover, Germany
| | - Mark Wilkinson
- Department of Dermatology, Chapel Allerton Hospital, Leeds, UK
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19
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Aalto‐Korte K, Koskela K, Pesonen M. Construction workersʼ skin disorders in the Finnish Register of Occupational Diseases 2005‐2016. Contact Dermatitis 2020; 83:437-441. [DOI: 10.1111/cod.13648] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 06/24/2020] [Accepted: 06/28/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Kristiina Aalto‐Korte
- Occupational Health Unit Finnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Kirsi Koskela
- Occupational Health Unit Finnish Institute of Occupational Health (FIOH) Tampere Finland
| | - Maria Pesonen
- Occupational Health Unit Finnish Institute of Occupational Health (FIOH) Helsinki Finland
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20
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Pesonen M, Vähäkangas K. Chloropicrin-induced toxicity in the respiratory system. Toxicol Lett 2020; 323:10-18. [DOI: 10.1016/j.toxlet.2020.01.022] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 01/17/2020] [Accepted: 01/23/2020] [Indexed: 12/11/2022]
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21
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Pesonen M, Koskela K, Aalto-Korte K. Contact urticaria and protein contact dermatitis in the Finnish Register of Occupational Diseases in a period of 12 years. Contact Dermatitis 2020; 83:1-7. [PMID: 32243591 DOI: 10.1111/cod.13547] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 04/01/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Although occupational contact urticaria (CU) and protein contact dermatitis (PCD) are considered frequent among workers with exposure to proteinaceous materials, data on occupations at risk and the main causes of these occupational skin diseases are relatively limited. OBJECTIVES To report the causative agents and risk occupations for CU and PCD in the Finnish Register of Occupational Diseases (FROD). METHODS We retrieved from the FROD all recognized cases of CU/PCD in the years 2005-2016. RESULTS With 570 cases, CU and PCD constituted 11% of all recognized cases of occupational skin diseases in the study period. Occupations with the highest incidence of CU/PCD included bakers, chefs and cooks, farmers and farm workers, veterinarians, gardeners, and hairdressers. The most common causative agents were cow dander and flour and grain, followed by natural rubber latex (NRL) and other food. In food-related occupations, wheat and other flours were by far the most common cause of CU/PCD, with 76 cases, whereas fish and other animal-derived food caused 33 and other plant-derived food caused 23 cases. CONCLUSIONS Apart from the Finnish peculiarity of cow dander allergy, a striking finding was a large share of CU/PCD caused by flours in food handlers as compared to other food.
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Affiliation(s)
- Maria Pesonen
- Finnish Institute of Occupational Health, Occupational Health Unit, Helsinki, Finland
| | - Kirsi Koskela
- Finnish Institute of Occupational Health, Occupational Health Unit, Helsinki, Finland
| | - Kristiina Aalto-Korte
- Finnish Institute of Occupational Health, Occupational Health Unit, Helsinki, Finland
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22
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Pesonen M, Suuronen K. Occupational allergic contact dermatitis caused by
Solvent Orange 60
in protective gloves. Contact Dermatitis 2020; 83:55-57. [DOI: 10.1111/cod.13524] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Accepted: 03/13/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Health UnitFinnish Institute of Occupational Health Helsinki Finland
| | - Katri Suuronen
- Occupational Health UnitFinnish Institute of Occupational Health Helsinki Finland
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23
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Aalto‐Korte K, Koskela K, Pesonen M. 12‐year data on skin diseases in the Finnish Register of Occupational Diseases II: Risk occupations with special reference to allergic contact dermatitis. Contact Dermatitis 2020; 82:343-349. [DOI: 10.1111/cod.13510] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 03/03/2020] [Accepted: 03/05/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Kristiina Aalto‐Korte
- Finnish Institute of Occupational Health (FIOH)Occupational Health Unit Helsinki Finland
| | - Kirsi Koskela
- Finnish Institute of Occupational Health (FIOH)Occupational Health Unit Tampere Finland
| | - Maria Pesonen
- Finnish Institute of Occupational Health (FIOH)Occupational Health Unit Helsinki Finland
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24
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Aalto‐Korte K, Koskela K, Pesonen M. 12‐year data on dermatologic cases in the Finnish Register of Occupational Diseases I: Distribution of different diagnoses and main causes of allergic contact dermatitis. Contact Dermatitis 2020; 82:337-342. [DOI: 10.1111/cod.13488] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 02/05/2020] [Accepted: 02/07/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Kristiina Aalto‐Korte
- Occupational Health UnitFinnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Kirsi Koskela
- Occupational Health UnitFinnish Institute of Occupational Health (FIOH) Tampere Finland
| | - Maria Pesonen
- Occupational Health UnitFinnish Institute of Occupational Health (FIOH) Helsinki Finland
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Horton E, Wilkinson M, Aalto‐Korte K, Pesonen M, Bauer A, Chowdhury MM, Cooper S, Cousen P, Crépy M, Larese Filon F F, Gallo R, Geier J, Giménez‐Arnau A, Gonçalo M, Goossens A, Green C, Guarneri F, Ljubojević Hadžavdić S, Johansen JD, Johnston GA, Rustemeyer T, Sánchez‐Pérez J, Thyssen JP, Schuttelaar MA, Stone N, Uter W. A survey of members of the European Surveillance System on Contact Allergy and the EU project “StanDerm” to identify allergens tested in cosmetic series across Europe. Contact Dermatitis 2020; 82:195-200. [DOI: 10.1111/cod.13437] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 10/15/2019] [Accepted: 11/15/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Emma Horton
- Department of DermatologyChapel Allerton Hospital Leeds UK
| | - Mark Wilkinson
- Department of DermatologyChapel Allerton Hospital Leeds UK
| | - Kristiina Aalto‐Korte
- Occupational MedicineFinnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Maria Pesonen
- Occupational MedicineFinnish Institute of Occupational Health (FIOH) Helsinki Finland
| | - Andrea Bauer
- Department of DermatologyUniversity Hospital Carl Gustav Carus, Technical University of Dresden Dresden Germany
| | | | - Susan Cooper
- Department of Dermatology, Oxford University Hospitals NHS Foundation Trust Oxford UK
| | - Philippa Cousen
- Department of Dermatology, The James Cook University Hospital Middlesbrough UK
| | - Marie‐Noëlle Crépy
- Department of Occupational MedicineUniversity Hospital of Centre of Paris COCHIN Paris France
| | - Francesca Larese Filon F
- Department of Dermatology, Dipartimento di Scienze Mediche, Chirurgiche e della SaluteUnità Operativa di Medicina del Lavoro, Università di Trieste Trieste Italy
| | - Rosella Gallo
- Department of Dermatology, Section of Dermatology, DISSALUniversity of Genoa Genoa Italy
| | - Johannes Geier
- Department of Dermatology, Information Network of Department of Dermatology (IVDK)Institute at the University Medical Center Goettingen Goettingen Germany
| | - Ana Giménez‐Arnau
- Department of Dermatology, Hospital del MarInstitut Mar d'Investigacions Mediques, Universitat Autónoma Barcelona Spain
| | - Margarida Gonçalo
- Department of Dermatology, Clinic of DermatologyUniversity Hospital and Faculty of Medicine, University of Coimbra Coimbra Portugal
| | - An Goossens
- Department of Dermatology, Universitair Ziekenhuis Leuven Belgium
| | - Cathy Green
- Department of Dermatology, Ninewells Hospital Dundee UK
| | | | - Suzana Ljubojević Hadžavdić
- Department of Dermatology, University Department of Dermatology and VenerologyZagreb University Hospital Center Zagreb Croatia
| | - Jeanne D. Johansen
- Department of Dermatology & Allergy and National Allergy Research CentreHerlev‐Gentofte Hospital Hellerup Denmark
| | | | - Thomas Rustemeyer
- Department of Dermatology and AllergologyAmsterdam University Medical Centres Amsterdam The Netherlands
| | | | - Jacob P. Thyssen
- Dermatology Department of the Hospital de la Princesa Madrid Spain
| | - Marie‐Louise A. Schuttelaar
- Department of DermatologyUniversity Medical Centre Groningen, University of Groningen Groningen The Netherlands
| | - Natalie Stone
- Department of Dermatology, Royal Gwent Hospital Newport UK
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and EpidemiologyUniversity of Erlangen/Nürnberg Erlangen Germany
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Jungewelter S, Airaksinen L, Pesonen M. Occupational rhinitis, asthma, and contact urticaria from IgE-mediated allergy to pork. Am J Ind Med 2019; 62:80-84. [PMID: 30474282 DOI: 10.1002/ajim.22921] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2018] [Indexed: 01/20/2023]
Abstract
We describe four cases of slaughterhouse workers with occupational immediate allergy to raw pork allergens, confirmed by positive skin prick testing and specific immunoglobulin E (IgE) antibodies. Our first patient was diagnosed with occupational asthma from raw pork allergens. Two patients were diagnosed with occupational rhinitis caused by raw pork allergens, which was confirmed by a nasal provocation test. One of these also had occupational contact urticaria caused by raw pork meat. We were unable to diagnose an occupational respiratory or skin disease in the fourth patient, despite signs of immediate sensitization to raw pork meat from occupational exposure. Based on proper diagnoses, measures to prevent allergen exposure were taken, which led to the improvement of symptoms in these four patients. The present patient cases highlight the importance of recognition of early signs of occupational allergy and identification of causative allergens in order to allow avoidance of allergens, with the aim of preventing persistence and worsening of symptoms.
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Affiliation(s)
| | | | - Maria Pesonen
- Finnish Institute of Occupational Health (FIOH)HelsinkiFinland
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Aalto-Korte K, Suomela S, Pesonen M. Allergic reactions to lower concentrations of nickel sulfate and formaldehyde often appear later than reactions to higher concentrations. Contact Dermatitis 2018; 80:162-165. [PMID: 30357867 DOI: 10.1111/cod.13162] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 10/15/2018] [Accepted: 10/22/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND A late-appearing patch test reaction may be a sign of active sensitization or represent a delayed elicitation reaction. OBJECTIVES To retrospectively study the effect of concentration on the time course of allergic reactions to routine concentration dilution series of formaldehyde and nickel sulfate. METHODS We tested concentration dilution series of 2%, 1%, 0.32% and 0.1% formaldehyde and 5%, 1.6%, 0.5% and 0.16% nickel sulfate, respectively. The last readings were performed on day 4 to day 6. We included patients with allergic reactions to either of the two lowest concentrations in each dilution series and whose tests had been read three times. RESULTS Forty-two nickel-allergic and 23 formaldehyde-allergic patients fulfilled the inclusion criteria. In 26 (62%) of the nickel-sensitive patients, reactions to lower concentrations appeared later than reactions to the highest concentration. Of the formaldehyde-sensitive patients, 17 (74%) developed one or two allergic reactions to lower concentrations later than reactions to the highest concentration, and one (4%) patient developed allergic reactions to lower concentrations sooner than a reaction to the highest concentration. The remaining patients showed all allergic reactions at the same reading. CONCLUSIONS In these selected, relatively strongly sensitized patients, allergic reactions to lower concentrations quite regularly appeared later than reactions to higher concentrations.
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Affiliation(s)
- Kristiina Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Sari Suomela
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
| | - Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, Finland
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Suuronen K, Bäck B, Aalto-Korte K, Pesonen M, Jungewelter S, Henriks-Eckerman ML, Mäkelä E. Skin exposure to epoxy chemicals in construction coating, assessed by observation, interviews, and measurements. Contact Dermatitis 2018; 80:18-25. [PMID: 30259537 DOI: 10.1111/cod.13122] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Revised: 08/14/2018] [Accepted: 08/16/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND Epoxy resin systems (ERSs) are among the leading causes of occupational allergic contact dermatitis. OBJECTIVES To identify riskful exposures and sources of skin exposure, and to quantify skin exposure to diglycidyl ether of bisphenol A (DGEBA) epoxy monomer, in construction coating work. METHODS Skin exposure to epoxy chemicals was studied in 5 coating companies through (a) interviews and visual observation, (b) quantifying DGEBA on 12 workers' skin by tape-stripping, (c) measuring DGEBA on 23 surfaces by wipe-sampling, and (d) quantifying DGEBA in new sewage pipe. Acetone extracts of the tapes, wipes and sawdust from a newly hardened sewage pipe were analysed by gas chromatography/mass spectrometry. RESULTS Identified riskful exposures were, for example, mixing ERSs, handling coating pots, and working above shoulder level. Epoxy stains on, for example, tools, equipment and clothing were seen in all workplaces. Protective gloves were of varying quality, and were not always suitable for chemicals. The amount of DGEBA on the workers' skin varied considerably. All screened tool handles were contaminated. Two-day-old epoxy sewage pipe contained 3.2% DGEBA. CONCLUSIONS Construction coating entails skin contact with ERSs directly and via contaminated surfaces, personal protective equipment, and recently hardened epoxy materials. Observation is a useful method for assessing skin exposure in coating work.
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Affiliation(s)
- Katri Suuronen
- Solutions for Safety, Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Beatrice Bäck
- Solutions for Safety, Work Environment, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Kristiina Aalto-Korte
- Solutions for Safety, Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Maria Pesonen
- Solutions for Safety, Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Soile Jungewelter
- Solutions for Safety, Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Maj-Len Henriks-Eckerman
- Solutions for Safety, Work Environment, Finnish Institute of Occupational Health, Turku, Finland
| | - Erja Mäkelä
- Solutions for Safety, Finnish Institute of Occupational Health, Helsinki, Finland
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Pesonen M, Suuronen K, Suomela S, Aalto-Korte K. Occupational allergic contact dermatitis caused by colophonium. Contact Dermatitis 2018; 80:9-17. [DOI: 10.1111/cod.13114] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 08/07/2018] [Accepted: 08/07/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Katri Suuronen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Sari Suomela
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); Helsinki Finland
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Uter W, Bauer A, Bensefa-Colas L, Brans R, Crépy MN, Giménez-Arnau A, Larese Filon F, Ljubojević Hadžavdić S, Pesonen M, Schuttelaar ML, Wilkinson M. Pilot study on a new concept of documenting the clinical relevance of patch test results in contact dermatitis patients. Contact Dermatitis 2018; 79:370-377. [DOI: 10.1111/cod.13097] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 07/04/2018] [Accepted: 07/16/2018] [Indexed: 12/01/2022]
Affiliation(s)
- Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; University of Erlangen/Nürnberg; Erlangen Germany
| | - Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus; University Allergy Centre, Technical University of Dresden; Dresden Germany
| | - Lynda Bensefa-Colas
- Department of Occupational and Environmental Diseases; University Hospital of Centre of Paris, Hotel-Dieu Hospital, AP-HP; Paris France
- Laboratoire Santé Publique et Environnement, EA 4064; Descartes University, Sorbonne Paris Cité; Paris France
| | - Richard Brans
- Department of Dermatology, Environmental Medicine and Health Theory; University of Osnabrück; Osnabrück Germany
| | - Marie-Noëlle Crépy
- Department of Occupational and Environmental Diseases; University Hospital of Centre of Paris, Hotel-Dieu Hospital, AP-HP; Paris France
| | - Ana Giménez-Arnau
- Department of Dermatology, Hospital del Mar; Institut Mar d'Investigacions Mediques, Universitat Autónoma; Barcelona Spain
| | - Francesca Larese Filon
- Department of Medical Sciences; Unit of Occupational Medicine, University of Trieste; Trieste Italy
| | | | - Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Työterveyslaitos; Helsinki Finland
| | - Marie L.A. Schuttelaar
- Department of Dermatology, University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - Mark Wilkinson
- Department of Dermatology, Chapel Allerton Hospital; Leeds UK
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Uter W, Bauer A, Bensefa-Colas L, Brans R, Crépy MN, Giménez-Arnau A, Larese Filon F, Ljubojević Hadžavdić S, Pesonen M, Schuttelaar ML, Wilkinson M, Lidén C. Extended documentation for hand dermatitis patients: Pilot study on irritant exposures. Contact Dermatitis 2018; 79:168-174. [DOI: 10.1111/cod.13035] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 04/18/2018] [Accepted: 04/25/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; University of Erlangen/Nürnberg; Erlangen Germany
| | - Andrea Bauer
- Department of Dermatology; University Hospital Carl Gustav Carus, University Allergy Centre, Technical University of Dresden; Dresden Germany
| | - Lynda Bensefa-Colas
- Occupational and Environmental Diseases Department; University Hospital of Centre of Paris, Hôtel-Dieu Hospital, AP-HP; Paris France
- Laboratoire Santé Publique et Environnement, EA 4064; Descartes University, Sorbonne Paris Cité; Paris France
| | - Richard Brans
- Department of Dermatology, Environmental Medicine and Health Theory; University of Osnabrück; Osnabrück Germany
| | - Marie-Noëlle Crépy
- Occupational and Environmental Diseases Department; University Hospital of Centre of Paris, Hôtel-Dieu Hospital, AP-HP; Paris France
| | - Ana Giménez-Arnau
- Department of Dermatology; Hospital del Mar, Institut Mar d'Investigacions Mediques, Universitat Autónoma; Barcelona Spain
| | - Francesca Larese Filon
- Department of Medical Sciences; Unit of Occupational Medicine, University of Trieste; Trieste Italy
| | | | - Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH), Työterveyslaitos; Helsinki Finland
| | - Marie L. Schuttelaar
- Department of Dermatology; University Medical Center Groningen, University of Groningen; Groningen The Netherlands
| | - Mark Wilkinson
- Department of Dermatology; Chapel Allerton Hospital; Leeds UK
| | - Carola Lidén
- Department of Environmental Medicine, Karolinska Institutet; Stockholm Sweden
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Aalto-Korte K, Koskela K, Pesonen M. Boat builders' occupational contact dermatitis - 11-year data from the Finnish register of occupational diseases. Contact Dermatitis 2018; 78:370-371. [DOI: 10.1111/cod.12965] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Accepted: 12/16/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Kristiina Aalto-Korte
- Finnish Institute of Occupational Health; Occupational Medicine; 00032 Työterveyslaitos, Helsinki Finland
| | - Kirsi Koskela
- Finnish Institute of Occupational Health; Occupational Medicine; 00032 Työterveyslaitos, Helsinki Finland
| | - Maria Pesonen
- Finnish Institute of Occupational Health; Occupational Medicine; 00032 Työterveyslaitos, Helsinki Finland
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Dittmar D, Uter W, Bauer A, Fortina AB, Bircher AJ, Czarnecka‐Operacz M, Dugonik A, Elsner P, Gallo R, Ghaffar SA, Giménez‐Arnau A, Johnston GA, Kręcisz B, Filon FL, Rustemeyer T, Sadowska‐Przytocka A, Sánchez‐Pérez J, Schnuch A, Simon D, Spiewak R, Spring P, Corradin MT, Valiukevičienė S, Vok M, Weisshaar E, Wilkinson M, Schuttelaar ML, Aberer W, Ballmer‐Weber B, Grabbe J, Beiteke U, Brasch J, Fuchs T, John SM, Mahler V, Pesonen M, Jolanki R, Rantanen T, Armario‐Hita JC, Fernández‐Redondo V, García‐Gavín J, Mercader P, Ruiz I, Silvestre JF, Balato A, Ayala F, Peserico A, Sliuziaviciene G, Kieć‐Świerczyńska M, Kmecl T, Pandurovic MK, Kecelj N, Lunder T, Simončič Godnič M, Chowdhury MMU, Cooper SM, English JSC, Cousen P, Horne HL, Gawkrodger DJ, Holden C, Sabroe R, Green CM, King CM, Ormerod AD, Samson JE, Statham B, Stone N, White I. European Surveillance System on Contact Allergies (ESSCA): polysensitization, 2009–2014. Contact Dermatitis 2018; 78:373-385. [DOI: 10.1111/cod.12966] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 12/14/2017] [Accepted: 12/18/2017] [Indexed: 12/28/2022]
Affiliation(s)
- Daan Dittmar
- University of Groningen, University Medical Centre GroningenDepartment of Dermatology 9700 RB Groningen The Netherlands
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and EpidemiologyUniversity of Erlangen/Nürnberg 91054 Erlangen Germany
| | - Andrea Bauer
- Department of DermatologyUniversity Allergy Centre, University Hospital Carl Gustav Carus, Technical University of Dresden 01307 Dresden Germany
| | - Ana B. Fortina
- Dermatology Unit, Department of PaediatricsUniversity of Padova 35137 Padova Italy
| | - Andreas J. Bircher
- Allergy Unit, Department of DermatologyUniversity Hospital 4031 Basel Switzerland
| | | | - Aleksandra Dugonik
- Department of DermatologyUniversity Medical Centre Maribor 2000 Maribor Slovenia
| | - Peter Elsner
- Department of DermatologyUniversity Hospital Jena 07743 Jena Germany
| | - Rosella Gallo
- Section of Dermatology, DISSAL – Department of Health SciencesUniversity of Genoa 16132 Genoa Italy
| | - Sharizan A. Ghaffar
- Department of DermatologyNinewells Hospital and Medical School Dundee DD1 9SY UK
| | - Anna Giménez‐Arnau
- Department of DermatologyHospital del Mar. Universitat Autònoma and Pompeu Fabra 08003 Barcelona Spain
| | - Graham A. Johnston
- Department of DermatologyLeicester Royal Infirmary Leicester, LE1 5WW, UK
| | - Beata Kręcisz
- Faculty of Medicine and Health ScienceThe Jan Kochanowski University 25‐317 Kielce Poland
| | | | - Thomas Rustemeyer
- Department of DermatologyFree University of Amsterdam 1081 HV Amsterdam The Netherlands
| | | | - Javier Sánchez‐Pérez
- Dermatology DepartmentHospital Universitario de la Princesa, Instituto de Investigación Sanitaria la Princesa (IIS‐IP) 28006 Madrid Spain
| | - Axel Schnuch
- Information Network of Departments of Dermatology at the University of Göttingen 37075 Göttingen Germany
| | - Dagmar Simon
- Department of DermatologyInselspital, Bern University Hospital, University of Bern 3010 Bern Switzerland
| | - Radoslaw Spiewak
- Department of Experimental Dermatology and CosmetologyJagiellonian University Medical College 30‐688 Krakow Poland
| | - Philipp Spring
- Department of DermatologyCentre Hospitalier Universitaire Vaudois 1011 Lausanne Switzerland
| | - Maria T. Corradin
- Department of DermatologyHospital of Pordenone 33170 Pordenone Italy
| | - Skaidra Valiukevičienė
- Department of Skin and Venereal DiseasesLithuanian University of Health Sciences 44307 Kaunas Lithuania
- Lithuanian University of Health Sciences Hospital 50009 Kaunas Lithuania
| | - Marko Vok
- Dermatovenerološka ambulanta 6310 Izola Slovenia
| | - Elke Weisshaar
- Department of Clinical Social Medicine, Occupational and Environmental DermatologyUniversity Hospital Heidelberg 69117 Germany
| | - Mark Wilkinson
- Dermatology, Leeds Teaching Hospitals NHS Trust Leeds LS7 4SA UK
| | - Marie L. Schuttelaar
- University of Groningen, University Medical Centre GroningenDepartment of Dermatology 9700 RB Groningen The Netherlands
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Uter W, Amario-Hita J, Balato A, Ballmer-Weber B, Bauer A, Belloni Fortina A, Bircher A, Chowdhury M, Cooper S, Czarnecka-Operacz M, Dugonik A, Gallo R, Giménez-Arnau A, Johansen J, John S, Kieć-Świerczyńska M, Kmecl T, Kręcisz B, Larese Filon F, Mahler V, Pesonen M, Rustemeyer T, Sadowska-Przytocka A, Sánchez-Pérez J, Schliemann S, Schuttelaar M, Simon D, Spiewak R, Valiukevičienė S, Weisshaar E, White I, Wilkinson S. European Surveillance System on Contact Allergies (ESSCA): results with the European baseline series, 2013/14. J Eur Acad Dermatol Venereol 2017. [DOI: 10.1111/jdv.14423] [Citation(s) in RCA: 63] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- W. Uter
- Department of Medical Informatics; Biometry and Epidemiology; Friedrich-Alexander-University Erlangen/Nürnberg; Erlangen Germany
| | - J.C. Amario-Hita
- Department of Dermatology; University Hospital of Puerto Real; Cádiz Spain
| | - A. Balato
- Department of Advanced Biomedical Sciences; University of Naples Federico II; Napoli Italy
| | - B. Ballmer-Weber
- Department of Dermatology; University Hospital Zürich; Zürich Switzerland
- Centre for Dermatology and Allergology; Kantonsspital Luzern; Luzern Switzerland
| | - A. Bauer
- Department of Dermatology; University Hospital Carl Gustav Carus; Technical University of Dresden; Dresden Germany
| | - A. Belloni Fortina
- Pediatric Dermatology Unit; Department of Medicine DIMED; University of Padova; Padova Italy
| | - A. Bircher
- Allergology Unit; Department of Dermatology; University Hospital Basel; Basel Switzerland
| | - M.M.U. Chowdhury
- The Welsh Institute of Dermatology; University Hospital of Wales; Cardiff UK
| | | | | | - A. Dugonik
- Department of Dermatology; University Medical Center Maribor; Maribor Slovenia
| | - R. Gallo
- Clinica Dermatologica; IRCCS - AOU San Martino - IST and Department of Health Sciences; University of Genoa; Genoa Italy
| | - A. Giménez-Arnau
- Department of Dermatology; Hospital del Mar; Universitat Autónoma; Barcelona Spain
| | - J.D. Johansen
- National Allergy Centre/Department of Dermatology; Gentofte Hospital; University of Copenhagen; Hellerup Denmark
| | - S.M. John
- Department of Dermatology; Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm); University of Osnabrück; Lower Saxony Institute for Occupational Dermatology (NIB); Osnabrück Germany
| | - M. Kieć-Świerczyńska
- Department of Dermatology; Nofer Institute of Occupational Medicine; Łodz Poland
| | - T. Kmecl
- Department of Dermatology; General Hospital Celje; Celje Slovenia
| | - B. Kręcisz
- Department of Dermatology; Nofer Institute of Occupational Medicine; Łodz Poland
- Faculty of Medicine and Health Science; Institute of Medical Science; Jan Kochanowski University; Kielce Poland
| | - F. Larese Filon
- Department of Public Health, Occupational Medicine; University of Trieste; Trieste Italy
| | - V. Mahler
- Department of Dermatology; University Hospital Erlangen; Friedrich-Alexander-University Erlangen-Nürnberg; Erlangen Germany
| | - M. Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - T. Rustemeyer
- Department of Dermatology; Free University of Amsterdam; Amsterdam The Netherlands
| | | | - J. Sánchez-Pérez
- Department of Dermatology; Hospital Universitario la Princesa; Madrid Spain
| | - S. Schliemann
- Department of Dermatology and Allergology; University Hospital Jena; Jena Germany
| | - M.L. Schuttelaar
- Department of Dermatology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - D. Simon
- Department of Dermatology; Inselspital; Bern University Hospital; University of Bern; Bern Switzerland
| | - R. Spiewak
- Department of Experimental Dermatology and Cosmetology; Faculty of Pharmacy; Jagiellonian University Medical College; Krakow Poland
| | - S. Valiukevičienė
- Department of Skin and Venereal Diseases; Lithuanian University of Health Sciences; Kaunas Lithuania
| | - E. Weisshaar
- Department of Clinical Social Medicine; University Hospital Heidelberg; Heidelberg Germany
| | - I.R. White
- St. John's Institute of Dermatology; Guy's Hospital; London UK
| | - S.M. Wilkinson
- Dermatology; Leeds Teaching Hospitals NHS Trust; Leeds UK
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Mahler V, Aalto-Korte K, Alfonso J, Bakker J, Bauer A, Bensefa-Colas L, Boman A, Bourke J, Bubaš M, Bulat P, Chaloupka J, Constandt L, Danielsen T, Darlenski R, Dugonik A, Ettler K, Gimenez-Arnau A, Gonçalo M, Johansen J, John S, Kiec-Swierczynska M, Koch P, Kohánka V, Krecisz B, Larese Filon F, Ljubojević S, Macan J, Marinović B, Matura M, Mihatsch P, Mijakoski D, Minov J, Pace J, Pesonen M, Ramada Rodilla J, Rast H, Reljic V, Salavastru C, Schuster C, Schuttelaar M, Simon D, Spiewak R, Jurakic Tončić R, Urbanček S, Valiukevičienė S, Weinert P, Wilkinson M, Uter W. Occupational skin diseases: actual state analysis of patient management pathways in 28 European countries. J Eur Acad Dermatol Venereol 2017; 31 Suppl 4:12-30. [DOI: 10.1111/jdv.14316] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 03/24/2017] [Indexed: 11/27/2022]
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Pesonen M, Suomela S, Kuuliala O, Aalto-Korte K. Occupational contact allergy to sodium cocoamphopropionate in a hand cleanser. Contact Dermatitis 2016; 74:246-8. [PMID: 26948415 DOI: 10.1111/cod.12474] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Revised: 08/31/2015] [Accepted: 08/31/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00290 Helsinki, Finland
| | - Sari Suomela
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00290 Helsinki, Finland
| | - Outi Kuuliala
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00290 Helsinki, Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00290 Helsinki, Finland
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Aalto-Korte K, Pesonen M. Patterns of simultaneous patch test reactions to thiurams and dithiocarbamates in 164 patients. Contact Dermatitis 2016; 75:353-357. [DOI: 10.1111/cod.12687] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Revised: 08/03/2016] [Accepted: 08/07/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Kristiina Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
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Pesonen M, Kuuliala O, Suomela S, Aalto-Korte K. Occupational contact dermatitis caused by 1,3-benzenedimethanamine, N-(2-phenylethyl) derivatives in hardeners for epoxy paints and coatings. Contact Dermatitis 2016; 75:358-362. [PMID: 27555300 DOI: 10.1111/cod.12652] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 06/06/2016] [Accepted: 06/07/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Amines in epoxy hardeners are significant causes of occupational allergic contact dermatitis among workers who use epoxy resin systems. OBJECTIVES To describe a novel group of contact allergens: N-(2-phenylethyl) derivatives of the reactive amine 1,3-benzenedimethanamine (1,3-BDMA). METHODS We describe the clinical examinations and exposure of 6 patients with occupational contact allergy to derivatives of 1,3-BDMA. RESULTS Of the 6 patients, 4 were spray painters who used epoxy paints, 1 was a floor layer who handled a variety of epoxy coatings, and 1 was a worker in epoxy hardener manufacture. We were able to confirm exposure to epoxy hardeners that contained derivatives of 1,3-BDMA in 5 of the 6 sensitized patients. Despite the close structural resemblance between derivatives of 1,3-BDMA and m-xylylenediamine (MXDA), only 3 patients reacted positively to MXDA. Concomitant contact allergy to diglycidyl ether of bisphenol A resin was seen in 2 of the 6 patients. CONCLUSIONS Because of the lack of a commercially available patch test substance, the diagnosis of contact allergy to derivatives of 1,3-BDMA requires patch testing with either the epoxy hardener product or a hardener ingredient that contains the derivatives of 1,3-BDMA.
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Affiliation(s)
- Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, 00251, Finland
| | - Outi Kuuliala
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, 00251, Finland
| | - Sari Suomela
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, 00251, Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), Helsinki, 00251, Finland
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Huuskonen A, Pesonen M. Does yeast ( Saccharomyces cerevisiae) supplementation in calf starter modify feed intake and liveweight gain of dairy bull calves? J Anim Feed Sci 2015. [DOI: 10.22358/jafs/65611/2015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Huovinen M, Pesonen M, Loikkanen J, Huuskonen P, Pasanen M, Naarala J, Vähäkangas K. Toxicity of waste water chemicals: Bisphenol A, diuron and PFOA. Toxicol Lett 2015. [DOI: 10.1016/j.toxlet.2015.08.869] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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41
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Pesonen M, Kuuliala O, Aalto-Korte K. Occupational contact dermatitis caused by (3-mercaptopropyl)trimethoxysilane in a windscreen repairer. Contact Dermatitis 2015; 73:372-3. [PMID: 26269007 DOI: 10.1111/cod.12453] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Revised: 04/23/2015] [Accepted: 04/23/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00250, Helsinki, Finland
| | - Outi Kuuliala
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00250, Helsinki, Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00250, Helsinki, Finland
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42
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Aalto-Korte K, Pesonen M, Suuronen K. Occupational allergic contact dermatitis caused by epoxy chemicals: occupations, sensitizing products, and diagnosis. Contact Dermatitis 2015; 73:336-42. [DOI: 10.1111/cod.12445] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Revised: 05/21/2015] [Accepted: 05/30/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Kristiina Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Katri Suuronen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
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Vauhkala AR, Pesonen M, Suomela S, Kuuliala O, Suuronen K, Aalto-Korte K. Occupational contact allergy to methylchloroisothiazolinone/methylisothiazolinone and methylisothiazolinone. Contact Dermatitis 2015; 73:150-6. [DOI: 10.1111/cod.12413] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Revised: 04/05/2015] [Accepted: 04/13/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Anna-Reetta Vauhkala
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
- Department of Dermatology; Skin and Allergy Hospital, Helsinki University Central Hospital (HUCH); FI-00029 Helsinki Finland
| | - Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
| | - Sari Suomela
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
| | - Outi Kuuliala
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
| | - Katri Suuronen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); FI-00250 Helsinki Finland
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44
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Pesonen M, Suuronen K, Jolanki R, Aalto-Korte K, Kuuliala O, Henriks-Eckerman ML, Valtanen I, Alanko K. Occupational contact dermatitis caused by aniline epoxy resins in the aircraft industry. Contact Dermatitis 2015; 73:113-8. [DOI: 10.1111/cod.12402] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Revised: 03/13/2015] [Accepted: 03/21/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Katri Suuronen
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Riitta Jolanki
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Kristiina Aalto-Korte
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | - Outi Kuuliala
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
| | | | - Ilona Valtanen
- Tampere Occupational Health Organization; 35800 Mänttä Finland
| | - Kristiina Alanko
- Occupational Medicine; Finnish Institute of Occupational Health (FIOH); 00250 Helsinki Finland
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45
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Pesonen M, Kallio MJT, Siimes MA, Ranki A. Allergen skin prick testing in early childhood: reproducibility and prediction of allergic symptoms into early adulthood. J Pediatr 2015; 166:401-6.e1. [PMID: 25454940 DOI: 10.1016/j.jpeds.2014.10.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2014] [Revised: 09/02/2014] [Accepted: 10/02/2014] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To assess the predictive value of skin prick testing in early childhood on subsequent allergic symptoms up to adult age. STUDY DESIGN A cohort of 200 unselected healthy newborns was prospectively followed from birth to 20 years of age. Of them, 163 (82%) were reassessed at age 5 years, 150 (76%) at age 11 years, and 164 (83%) at age 20 years with a skin prick test that included 11 common allergens. On the basis of clinical examination and structured interview, the occurrence of atopic dermatitis, allergic rhinoconjunctivitis, recurrent wheezing, and symptoms of food hypersensitivity were recorded at each of the follow-up visits. RESULTS The reproducibility of skin prick test positivity at age 5 years was 100% at ages 11 and 20 years, ie, none of the skin prick-positive subjects turned negative during the follow-up. Gaining of new sensitizations to aeroallergens was common. Skin prick test positivity at age 5 years predicted allergic symptoms at ages 11 (sensitivity 28%, specificity 94%) and 20 years (sensitivity 23%, specificity 91%) but not atopic dermatitis. CONCLUSIONS Skin prick test positivity at age 5 years strongly predicts later skin prick test positivity and is associated with respiratory symptoms, ie, allergic rhinoconjunctivitis and recurrent wheezing, at ages 11 and 20 years. However, skin prick test negativity at age 5 years does not exclude sensitization and allergic symptoms at a later age.
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Affiliation(s)
- Maria Pesonen
- Finnish Institute of Occupational Health, Helsinki, Finland.
| | - Markku J T Kallio
- Hospital for Children and Adolescents, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Martti A Siimes
- Hospital for Children and Adolescents, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Annamari Ranki
- Department of Dermatology and Allergology, the Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland
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46
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Pesonen M, Jolanki R, Larese Filon F, Wilkinson M, Kręcisz B, Kieć-Świerczyńska M, Bauer A, Mahler V, John SM, Schnuch A, Uter W. Patch test results of the European baseline series among patients with occupational contact dermatitis across Europe - analyses of the European Surveillance System on Contact Allergy network, 2002-2010. Contact Dermatitis 2015; 72:154-63. [DOI: 10.1111/cod.12333] [Citation(s) in RCA: 125] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Revised: 11/17/2014] [Accepted: 11/17/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Pesonen
- Occupational Medicine; Finnish Institute of Occupational Health; Topeliuksenkatu 41 a A, 00250 Helsinki Finland
| | - Riitta Jolanki
- Occupational Medicine; Finnish Institute of Occupational Health; Topeliuksenkatu 41 a A, 00250 Helsinki Finland
| | - Francesca Larese Filon
- Unit of Occupational Medicine, Department of Medicine and Public Health; University of Trieste; Via della Pietà 19, 34129 Trieste Italy
| | - Mark Wilkinson
- Department of Dermatology; The Leeds Teaching Hospitals NHS Trust; Harehills Lane, Leeds LS7 4SA UK
| | - Beata Kręcisz
- Department of Allergology and Environmental Health; Nofer Institute of Occupational Medicine; 8 Teresy Street, 91-348 Lodz Poland
| | - Marta Kieć-Świerczyńska
- Department of Allergology and Environmental Health; Nofer Institute of Occupational Medicine; 8 Teresy Street, 91-348 Lodz Poland
| | - Andrea Bauer
- Department of Dermatology; University Allergy Centre, University Hospital Carl Gustav Carus, Technical University Dresden; Fetscherstraße 74, D-01307 Dresden Germany
| | - Vera Mahler
- Department of Dermatology; University Hospital Erlangen; Ulmenweg 18, D-91054 Erlangen Germany
| | - Swen M. John
- Department of Dermatology; Environmental Medicine and Health Theory, University of Osnabrueck; Sedanstrasse 115, 49069 Osnabrueck Germany
| | - Axel Schnuch
- Information Network of Departments of Dermatology (IVDK); University of Göttingen; von-Sieboldstr. 3, D-37075 Göttingen Germany
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; University of Erlangen/Nürnberg; Waldstr. 6, D-91054 Erlangen Germany
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Sarfraz J, Määttänen A, Törngren B, Pesonen M, Peltonen J, Ihalainen P. Sub-ppm electrical detection of hydrogen sulfide gas at room temperature based on printed copper acetate–gold nanoparticle composite films. RSC Adv 2015. [DOI: 10.1039/c4ra17256f] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This paper presents the sub-ppm level electrical detection of H2S gas at room temperature using printed copper acetate–gold nanoparticle composite films either on (A) silver or (B) gold/AuNP electrodes.
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Affiliation(s)
- J. Sarfraz
- Laboratory of Physical Chemistry
- Åbo Akademi University
- FI-20500 Turku
- Finland
| | - A. Määttänen
- Laboratory of Physical Chemistry
- Åbo Akademi University
- FI-20500 Turku
- Finland
| | - B. Törngren
- Laboratory of Physical Chemistry
- Åbo Akademi University
- FI-20500 Turku
- Finland
| | - M. Pesonen
- Center for Functional Materials
- Physics
- Åbo Akademi University
- FI-20500 Turku
- Finland
| | - J. Peltonen
- Laboratory of Physical Chemistry
- Åbo Akademi University
- FI-20500 Turku
- Finland
| | - P. Ihalainen
- Laboratory of Physical Chemistry
- Åbo Akademi University
- FI-20500 Turku
- Finland
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48
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Pesonen M, Suomela S, Kuuliala O, Henriks-Eckerman ML, Aalto-Korte K. Occupational contact dermatitis caused by D-limonene. Contact Dermatitis 2014; 71:273-9. [PMID: 25141986 DOI: 10.1111/cod.12287] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2014] [Revised: 05/30/2014] [Accepted: 06/17/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND Limonene is widely used as a fragrance substance and solvent in cleansing products. Oxidized limonene is a frequent contact allergen among consumers of cosmetics, personal care products, and scented household cleaning products. Less is known about the sources of occupational exposure and occupational contact dermatitis caused by limonene. OBJECTIVE To report 14 patients with occupational contact allergy to limonene. METHODS The patients were examined in 2008-2013. An in-house preparation of oxidized limonene was patch tested as 3% and 5% in petrolatum from 2008 to August 2010, and after this as 3%, 1% and 0.3% pet. From 2012 onwards, a commercial test substance of limonene hydroperoxides was also used. We assessed the patients' occupational and domestic exposure to limonene. RESULTS Occupational limonene allergy was observed in workers who used limonene-containing machine-cleaning detergents and hand cleansers, and in workers who used limonene-containing surface cleaners and dishwashing liquids similar to those used by consumers. In 3 cases, the occupational limonene allergy resulted from work-related use of limonene-containing, leave-on cosmetic products. CONCLUSIONS Limonene is a frequent occupational sensitizer in hand cleansers and cleaning products. Occupational limonene contact allergy may also be caused by exposure to cosmetic products scented with limonene.
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Affiliation(s)
- Maria Pesonen
- Occupational Medicine, Finnish Institute of Occupational Health, FI-00250, Helsinki, Finland
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Pesonen M, Airaksinen L, Voutilainen R, Riekki R, Jungewelter S, Suuronen K. Occupational contact urticaria and rhinitis caused by immediate allergy to palladium salts. Contact Dermatitis 2014; 71:176-7. [DOI: 10.1111/cod.12214] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2013] [Accepted: 01/08/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Pesonen
- The Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Liisa Airaksinen
- The Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Risto Voutilainen
- The Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Riitta Riekki
- Department of Dermatology; University of Oulu; Oulu Finland
| | - Soile Jungewelter
- The Finnish Institute of Occupational Health (FIOH); Helsinki Finland
| | - Katri Suuronen
- The Finnish Institute of Occupational Health (FIOH); Helsinki Finland
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Lammintausta K, Aalto-Korte K, Ackerman L, Alanko K, Berry P, Hasan T, Kaminska R, Korhonen L, Laukkanen A, Liippo J, Pesonen M, Rantanen T, Riekki R, Suuronen K. An epidemic of contact allergy to methylisothiazolinone in Finland. Contact Dermatitis 2014; 70:184-5. [DOI: 10.1111/cod.12186] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Accepted: 11/27/2013] [Indexed: 11/26/2022]
Affiliation(s)
- Kaija Lammintausta
- Department of Dermatology; Turku University Hospital; 20521 Turku Finland
| | - Kristiina Aalto-Korte
- Department of Dermatology; Finnish Institute of Occupational Health, Control of Hypersensitivity Diseases; 00250 Helsinki Finland
| | - Leena Ackerman
- Department of Dermatology; Skin and Allergy Hospital, 00290 Helsinki University Central Hospital; Helsinki Finland
| | - Kristiina Alanko
- Department of Dermatology; Skin and Allergy Hospital, 00290 Helsinki University Central Hospital; Helsinki Finland
| | - Päivikki Berry
- Department of Dermatology; Allergy Centre, North Carelia Central Hospital, 80210; Joensuu Finland
| | - Taina Hasan
- Department of Dermatology; Tampere University Hospital; 33521 Tampere Finland
| | - Renata Kaminska
- Department of Dermatology; Central Hospital of Keski-Pohjanmaa; 67200 Kokkola UK
| | - Laura Korhonen
- Department of Dermatology; Tampere University Hospital; 33521 Tampere Finland
| | - Arja Laukkanen
- Department of Dermatology; Kuopio Unievrsity Hospital, 70211; Kuopio Finland
| | - Jussi Liippo
- Department of Dermatology; Turku University Hospital; 20521 Turku Finland
| | - Maria Pesonen
- Department of Dermatology; Finnish Institute of Occupational Health, Control of Hypersensitivity Diseases; 00250 Helsinki Finland
| | - Tapio Rantanen
- Department of Dermatology; Central Hospital, Päijät-Häme Social and Health Care Group; 15850 Lahti Finland
| | - Riita Riekki
- Department of Dermatology; Oulu University Hospital; 90029 Helsinki Finland
| | - Katri Suuronen
- Department of Dermatology; Finnish Institute of Occupational Health, Control of Hypersensitivity Diseases; 00250 Helsinki Finland
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