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Biomedical subjects

D Burrows

Publications and source records attributed to D Burrows.

At least 91 records · Page 5Linked to original sources

Nickel allergy in relationship to previous oral and cutaneous nickel contact.

Potential relationships between the development of nickel allergy and previous ear piercing or orthodontic treatment with nickel-containing appliances were studied in 294 patients. We found 77 (31.2%) of 247 patients with pierced ears were allergic to nickel compared to only three (6.4%) patients without pierced ears (p = 0.001), which confirms earlier suggestions that nickel allergy (as assessed by patch testing) is promoted by ear piercing. If orthodontic treatment preceded the event of ear piercing, the frequency of nickel allergy was reduced from 36% to 25%. This supports the view that oral allergenic contacts may induce immunological tolerance.

Drug Hypersensitivity↗

T-cell subset assay. A useful differentiating marker of atopic and seborrheic eczema in infancy?

To confirm T-cell changes previously reported in atopic eczema, to compare T-cell subset values in atopic and seborrheic infants, and to determine whether T-cell subset assay would be a useful differentiating marker between atopic and seborrheic infants, three age- and sex-matched groups of normal, seborrheic, and atopic infants were recruited. T-cell subset values, total serum IgE, and serum IgE to specific allergens (Dermatophagoides pteronyssimus, cat epithelium, dog dander, rye grass, egg white, and milk) were measured. The results showed that total and allergen-specific IgE levels were higher in atopic disease in infancy, but no statistical differences in T-cell subset values between seborrheic and atopic infants were found. T-cell subset values are therefore not a reliable differentiating marker between atopic and seborrheic eczema in infancy.

Dermatitis, Atopic↗

Kyrle's disease.

Kyrle's disease is a chronic, genetically determined, hyperkeratotic disorder occurring in the middle forties. We report fourteen cases of this disorder in a population of 1.5 million over a period of 15 years. We observed a female/male ratio of 6:1. Straw-colored keratotic plugs and flat scale show a marked predisposition for the calf, the tibial region, and the posterior part of the thigh. They vary in size from 1 to 4 mm, and there is occasional plaque formation. No koebnerization or pruritus was noted, and no statistically significant association with hepatic, renal, or diabetic disorders could be demonstrated. Microscopic features showed a consistent pattern of keratotic plug formation, with the plug sitting in an invaginated atrophic epidermis, and underlying dermal histiocyte and lymphocyte aggregation. All lesions contained orthokeratosis and parakeratosis, with some sections showing abnormal keratinization. Sodium dodecylsulfate gel electrophoresis did not demonstrate the presence of abnormal keratin bands.

Adult↗

Contact dermatitis. A review.

In recent years, there has been a dramatic rise in our understanding of contact dermatitis. This paper is a review of our knowledge of the mechanisms involved in contact dermatitis and related phenomena, the investigation of these events and the emergence of significant new allergens during the last 5 years.

Allergens↗

Premature epiphyseal closure--a complication of etretinate therapy in children.

Two children are described who developed premature epiphyseal closure while receiving etretinate for treatment of congenital hyperkeratotic disorders. The first patient was an 8 1/2-year-old boy with nonbullous ichthyosiform erythroderma who had been on treatment for 6 years, 4 months when premature fusion of the right distal tibial epiphysis was detected. Shortness of stature, thinning of long bones, and traumatic fractures were also observed in this patient. The second child was an 11-year-old girl with systematized verrucous nevi in whom symmetric fusion of both elbow epiphyses and narrowing of the femoral epiphyses bilaterally were noted following treatment with etretinate for 5 years, 5 months.

Age Determination by Skeleton↗

Seborrhoeic eczema--a disease entity or a clinical variant of atopic eczema?

One hundred and thirty-eight children seen at the Dermatology Clinic between 1969 and 1972 were reviewed. The study comprised two groups--a study group of 76 children diagnosed as having seborrhoeic eczema, and a group of 62 children seen over the same time period at the same clinic and diagnosed as having atopic eczema. The children were examined and a family history obtained with particular reference to past or present history of atopic diseases. Serum IgE, blood eosinophil count, pulmonary function tests and skin prick testing to various allergens were measured in the two groups. In the seborrhoeic group, 19% had eczema, 20% had abnormal pulmonary function clinically; 25% had a raised eosinophil count, 44% a raised IgE level, 89% positive skin prick testing, and 52% a peak flow less than 80% of predicted value. These results indicate a closer than expected association between infantile seborrhoeic eczema and atopic disease.

Asthma↗

Treatment of nickel dermatitis with Trientine.

23 nickel-sensitive patients with hand eczema were treated with Trientine 300 mg daily and a placebo in a double-blind, crossover trial. No significant improvement occurred in the hand eczema. A surprising finding was that there was no detectable increase in urinary nickel excretion, in contrast to animal studies.

Adult↗

Hypersensitivity to mercury, nickel and chromium in relation to dental materials.

Three metals which are used in dental materials are recognized as causing sensitization sufficiently frequently to consider whether problems might arise from their use in dentistry. These metals are, mercury, nickel and chromium. Nickel is by far the commonest sensitizer, 10 per cent of women are allergic to nickel; sensitization usually occurs through jewellery or fasteners on articles of clothing. Chromium (as chromate) is a much less common sensitizer for several reasons. Sensitization only occurs through hexavalent salts of chromate and the degree of exposure of humans to these salts is much less than to either nickel or mercury. The true incidence of mercury sensitization is difficult to ascertain because many of the materials which were used for patch testing previously and on which statistics were based, contained unnecessarily high concentrations of mercury, and the pattern of mercury allergy is changing because many substances which contain mercury and were used frequently are not now employed. Although metallic mercury can sensitize the evidence would suggest that if dental amalgams ever cause people to become allergic to mercury, it is an extremely rare occurrence. Problems with mercury-containing amalgams in those sensitized are also rare, only 28 cases have been recorded in the literature. Thus, it is likely that at the present time sensitization to mercury is uncommon and decreasing. There is even less evidence that nickel or chromate in dental materials actively sensitize and it is exceptionally rare to have problems with these metals in a prosthesis in someone who is already sensitized.(ABSTRACT TRUNCATED AT 250 WORDS)

Chromium↗

Allergic contact dermatitis to epoxy resin in ostomy bags.

Six ostomy patients presenting with peristomal rashes have been shown to be allergic to their ostomy bags and to epoxy resin. Subsequent investigation confirmed the presence in the bags of low molecular weight epoxy resin oligomers, which are known as potent contact sensitizers.

Colostomy↗