A spotlight on lime: a review about adverse reactions and clinical manifestations due to Citrus aurantiifolia

Lime (Citrus aurantiifolia) is a plant belonging to the family of Rutaceae and to the genus Citrus. The fruit is widely used in the United States, Mexico, Southeast Asia, Latin America, but is increasingly widespread all over the world. It is used as a fresh fruit, in the preparation of foods, sweets and drinks and its oils are used in the cosmetic and pharmaceutical industry. The main adverse reactions to lime seem to be represented by contact dermatitis, allergic and phototoxic type. In the context of allergic forms, several allergens have been identified in the citrus family, the main one being limonene, but no noteworthy cross-reactivity has been identified. However, a case of fruit protein contact dermatitis has been described, showing sensitization to other fruits, such as kiwi, avocado, pineapple and apple. There are several molecules responsible for phototoxic reactions and mainly belonging to the coumarin and furocoumarins families. Reactions related to ingesting the fruit or inhaling pollen from the tree appear to be rare, as there are no known cases reported in the literature. The increasing diffusion of lime in Europe must pay attention to possible adverse reactions due to contact with this fruit, which seem destined to increase in future years. Further importance must be placed on patch tests and on the possibility of using alternative extracts to classic fragrance mixes.

Skin bioengineering in the diagnosis of occupational protein contact dermatitis

Protein contact dermatitis (PCD) often presents as chronic hand eczema (CHE) with an immediate hypersensitivity to protein proved by a positive skin prick test or by the presence of specific immunoglobulin E. This is frequently induced by occupational exposure to proteins in food workers, farmers, animal breeders, veterinarians and healthcare professionals. While skin barrier impairment is crucial in the pathogenesis of PCD, methods to assess skin barrier function such as trans-epidermal water loss and stratum corneum hydration are not widely used in clinical settings. We describe the diagnostic workup of occupational PCD due to Argentinean shrimps and discuss how the use of skin bioengineering methods including assessment of corneocytes morphology by Scanning Electron Microscopy provides with insightful information on skin barrier function. Diagnosis of PCD is time-consuming and a multidisciplinary team contributes to early diagnosis and proper occupational rehabilitation.

Development of protein fabric indicator for protein contact dermatitis (PCD) patient

Purpose This paper aims to develop a new method of protein detection in fabric using purified henna extract targeted to be used as a precautionary step by protein contact dermatitis (PCD) patients. Design/methodology/approach Henna contains lawsone, which is known for its reaction with amino acid, resulting in the formation of a highly coloured compound. Dye exhaustion test of 2 per cent purified henna extract was done on both protein and non-protein fabric, and the results were analysed using independent samples t-test to assess the significant differences of the comparison. Then, protein fabric indicator was developed by incorporating purified henna extract. It was tested for its dye ability and stability. Findings Protein fabrics showed a significant higher dye exhaustion (p = 0.001) in which pure silk came in first with 21.70 per cent ± 2.53, silk/rayon, 13.96 per cent ± 0.55, viscose/wool, 9.57 per cent ± 1.36, cotton/spandex, 5.89 per cent ± 0.86, linen/cotton, 5.26 per cent ± 1.29, cotton, 4.87 per cent ± 1.51, polyester/viscose, 4.69 per cent ± 1.09, linen, 4.56 per cent ± 0.86, polyester/cotton, 3.90 per cent ± 0.29 and polyester and 3.88 per cent ± 0.66. Two different forms of protein fabric indicator were developed: capsule and tablet. Both indicators showed good observable dye exhaustion and fixation results. Orange henna dye was fixed on protein fabric while non-protein fabric returned to its original colour after washing procedure. However, the tablet form showed better performance in terms of functionality and stability. Originality/value This study will help general community to better understand fibre and its constituents, especially protein where clothing is an integral part of human life because it comes in direct contact with the human skin. As PCD caused by clothing and textile is an uncommon disease, it may also help in creating awareness on how some people may develop contact dermatitis through fabric. This is because the fabric’s protein content is a causative allergen, which most people tend to overlook. For the researcher, this study helps to elucidate some critical areas in PCD for clothing and textile as this topic can be considered an understudy. There is no standard method to detect protein in fabric, especially blended fabric. Thus, a portable kit to detect protein in fabric will be developed in this study. This kit will benefit PCD patients to ease them in finding the right fabric for their skin.