scholarly journals Contact Sensitization to the Allergens of European Baseline Series in Patients With Chronic Leg Ulcers

Medicina ◽  
2011 ◽  
Vol 47 (9) ◽  
pp. 480 ◽  
Author(s):  
Aistė Beliauskienė ◽  
Skaidra Valiukevičienė ◽  
Brigita Šitkauskienė ◽  
Axel Schnuch ◽  
Wolfgang Uter
Keyword(s):  
Patch Test ◽  
Contact Allergy ◽  
Lower Leg ◽  
Leg Ulcers ◽  
Contact Sensitization ◽  
Test Reaction ◽  
Data Set ◽  
Positive Patch Test ◽  
Test Reactions ◽  
Chronic Leg Ulcers

Background and Objective. The pattern of contact sensitization among patients with chronic leg ulcers depends on the local practice of wound treatment along with demographic and clinical confounders. The study was aimed at revealing the associations between chronic leg ulcers and contact sensitization. Material and Methods. Between 2006 and 2008, 35 patients with chronic leg ulcers and surrounding dermatitis and 59 patients with contact dermatitis of the lower leg or foot were prospectively recruited at the Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences. Demographic and clinical data were collected in accordance with the “minimal data set” of the European Surveillance System on Contact Allergy. Patch testing was performed with the allergens of the European baseline series. Results. At least one positive patch test reaction was found in 28 (80%) of the patients with chronic leg ulcers and in 24 (41%) of the patients with dermatitis of the lower leg or foot (P<0.001). Sensitization to some of the most common allergens, namely colophony, Myroxylon pereirae resin, and methyldibromo glutaronitrile, was prevalent in both the groups of patients, whereas sensitization to benzocaine, p-phenylenediamine, and lanolin alcohol was associated with the presence of chronic leg ulcers. Benzocaine was found to be the leading allergen among patients with chronic leg ulcers (positive patch test reactions in 34.4% of the patients). Conclusions. Contact sensitization to benzocaine, p-phenylenediamine, and lanolin was found to be associated with the presence of chronic leg ulcers.

scholarly journals Relevance of patch testing in patients of chronic spontaneous urticaria and its correlation with serum IgE level

2022 ◽  
Vol 1 ◽  
pp. 17-20
Author(s):  
Trupti Desale ◽  
Abhishek De ◽  
S. K. Shahriar Ahmed ◽  
Aarti Sarda ◽  
Kiran Godse ◽  
...  
Keyword(s):  
Patch Test ◽  
Patch Testing ◽  
Potassium Dichromate ◽  
Contact Allergy ◽  
Chronic Spontaneous Urticaria ◽  
Test Reaction ◽  
Serum Ige ◽  
Positive Patch Test ◽  
Lost To Follow Up

Objectives: Chronic spontaneous urticaria (CSU) is defined as short lived (< 24h) wheals occurring spontaneously without any triggering factors, daily or almost daily for at least 6 weeks. Though CSU is mainly a Type 1 hypersensitivity reaction, earlier studies suggested contact allergy may have some role to play an important role in the etiopathogenesis of CSU. The objective of the study is to find out the relevance of patch test in the etiopathogenesis of and its correlation with serum IgE level. Materials and Methods: Thirty-one patients of CSU were thoroughly evaluated for clinical and laboratory parameters. We conducted patch testing with Indian Standard Series (ISS) in all of them and tried to find out the relevance of every positive reaction. Relevant positive cases were asked to avoid exposure for 2 months and were maintained only in breakthrough antihistamines. Furthermore, correlation of positive patch test reaction with high IgE and eosinophil count were studied. Results: Seventeen (55%) cases came positive for patch test. Potassium dichromate, lanolin, benzocaine, and fragrance mix were the most common offenders. Patients with very high IgE count had patch test positivity with multiple allergens. Seven of the fifteen patients who had relevant positive patch results could be followed up to remission; three were lost to follow-up. Conclusion: Patch test with ISS may give important clue to in a subset of patients of CSU and thus may be considered an important part of routine investigations of CSU.

Positive patch test reactions to formaldehyde releasers indicating contact allergy to formaldehyde

2008 ◽  
Vol 58 (3) ◽  
pp. 175-177 ◽  
Author(s):  
Johannes Geier ◽  
Holger Lessmann ◽  
Simin Hellriegel ◽  
Thomas Fuchs
Keyword(s):  
Patch Test ◽  
Contact Allergy ◽  
Positive Patch Test ◽  
Test Reactions

scholarly journals Sensitizing Capacities and Cross-Reactivity Patterns of Some Diisocyanates and Amines Using the Guinea-Pig Maximization Test. Can p-phenylenediamine be Used as a Marker for Diisocyanate Contact Allergy?

2017 ◽  
Vol 11 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Haneen Hamada ◽  
Erik Zimerson ◽  
Magnus Bruze ◽  
Marléne Isaksson ◽  
Malin Engfeldt
Keyword(s):  
Guinea Pig ◽  
Patch Test ◽  
Guinea Pigs ◽  
Contact Allergy ◽  
Cross Reactivity ◽  
The Other ◽  
Positive Patch Test ◽  
Other Hand ◽  
Test Reactions ◽  
Toxic Reactions

Background:Isocyanates are mainly considered respiratory allergens but can also cause contact allergy. Diphenylmethane-4,4′-diamine (4,4′-MDA) has been considered a marker for diphenylmethane-4,4′-diisocyanate (4,4′-MDI) contact allergy. Furthermore, overrepresentation of positive patch-test reactions top-phenylenediamine (PPD) in 4,4′-MDA positive patients have been reported.Objectives:To investigate the sensitizing capacities of toluene-2,4-diisocyanate (2,4-TDI) and PPD and the cross-reactivity of 4,4′-MDA, 2,4-TDI, dicyclohexylmethane-4,4′-diamine (4,4′-DMDA), dicyclohexylmethane-4,4′-diisocyanate (4,4′-DMDI), 4,4′-MDI and PPD.Methods:The Guinea Pig Maximization Test (GPMT) was used.Results:PPD was shown to be a strong sensitizer (p<0.001). Animals sensitized to PPD showed cross-reactivity to 4,4′-MDA (p<0.001). Animals sensitized to 4,4′-MDA did not show cross-reactivity to PPD. 8 animals sensitized to 2,4-TDI were sacrificed due to toxic reactions at the induction site and could thus not be fully evaluated.Conclusion:PPD was shown to be a strong sensitizer. However, it cannot be used as a marker for isocyanate contact allergy. On the other hand, positive reactions to 4,4′-MDA could indicate a PPD allergy. The intradermal induction concentration of 2,4-TDI (0.70% w/v) can induce strong local toxic reactions in guinea-pigs and should be lowered.

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