Search PubMed⌕ Search

Biomedical subjects

I Rystedt

Publications and source records attributed to I Rystedt.

33 records · Page 2Linked to original sources
PubMed1984

Nickel release from ear piercing kits and earrings.

Ear piercing with nickel-alloyed studs/clasps involves considerable risk of nickel sensitisation. Stainless steel studs/clasps for ear piercing and different types of earring were stored in synthetic sweat for 1 week. The nickel release was determined. One "hypoallergenic" stud/clasp released 0.005 microgram Ni; 21 unused studs/clasps and earrings released 0.05-3 microgram Ni, and 11 unused studs/clasps and earrings released 6-25 micrograms Ni. 6 earrings which caused dermatitis released 14-442 micrograms Ni. Thus, all studs/clasps and earrings released nickel. Neither gold nor silver plating prevented the nickel release. Nickel-sensitive women were asked to wear studs/clasps releasing various amounts of nickel. The most sensitive of them showed eczematous reactions to studs/clasps releasing nickel down to 0.05 micrograms. The dimethylglyoxime test was positive only when more than 10 micrograms Ni was released.

Alloys↗
PubMed1984

The Scandinavian multicenter photopatch study. Preliminary results.

The Scandinavian photopatch test procedure has been applied to 745 patients with suspected photodermatoses during the years 1980-1981. Our experience has been encouraging with the recording of several relevant reactions. A total of 132 positive photocontact reactions and 120 ordinary contact reactions were seen. Photocontact reactions to musk ambrette (19 cases) and PABA (19 cases) were surprisingly frequent. The next most common photocontact reactions were to promethazine (24), chlorpromazine (22 cases) and fentichlor (12). Ordinary contact reactions were observed to balsam of Peru (30), PABA (23), lichen mix (21), wood mix (14) and to perfume mix (10).

4-Aminobenzoic Acid↗
PubMed1984

Increased serum levels of antibodies to Epstein-Barr virus in adults with history of atopic dermatitis.

Serum antibodies to Epstein-Barr virus (EBV), varicella-zoster (VZV) and herpes simplex virus (HSV) were determined in 140 patients with active or healed atopic dermatitis (AD) and 48 control individuals. Antibody titers against EBV were significantly higher in AD patients than in the controls irrespective of whether the AD was active or healed at the time of blood sampling. No difference in EBV antibody titers were observed between AD patients with asthma and/or hay fever and those without such additional atopic manifestations. There was no correlation between EBV antibody titers and serum IgE levels. The frequency of seropositivity and the magnitude of antibody titers against VZV and HSV in AD patients were not significantly different from the controls. Increase in EBV antibody titers may reflect basic immunoregulatory disturbances in AD but it is also possible that EBV may play a role in the pathogenesis of atopic disease.

Adult↗
PubMed1984

HLA -A, -B, -C and -DR antigens in individuals with sensitivity to cobalt.

In a skin investigation of 853 individuals working with hard metal manufacturing 39 cases of cobalt allergy were found. Thirty-five of the individuals with cobalt sensitivity and 102 matched controls were HLA-A, -B, -C and -DR typed. No significantly deviating HLA antigen frequencies were observed when the two groups were compared. Thus, there are no signs that a certain HLA antigen would dispose to cobalt allergy. In the cobalt sensitive group the B7 positive individuals showed particularly often simultaneous reactions to other contact allergens (p = less than 0.025). The B12 positive individuals had low reactivity (p = less than 0.0001) while the A28 positive showed high reactivity (p = less than 0.015).

Cobalt↗
PubMed1983

Cobalt allergy in hard metal workers.

Hard metal contains about 10% cobalt. 853 hard metal workers were examined and patch tested with substances from their environment. Initial patch tests with 1% cobalt chloride showed 62 positive reactions. By means of secondary serial dilution tests, allergic reactions to cobalt were reproduced in 9 men and 30 women. Weak reactions could not normally be reproduced. A history of hand eczema was found in 36 of the 39 individuals with reproducible positive test reactions to cobalt, while 21 of 23 with a positive initial patch test but negative serial dilution test had never had any skin problems. Hand etching and hand grinding, mainly female activities and traumatic to the hands, were found to involve the greatest risk of cobalt sensitization. 24 individuals had an isolated cobalt allergy. They had probably been sensitized by hard metal work, while the individuals, all women, who had simultaneous nickel allergy had probably been sensitized to nickel before their employment and then became sensitized to cobalt by hard metal work. A traumatic occupation, which causes irritant contact dermatitis and/or a previous contact allergy or atopy is probably a prerequisite for the development of cobalt allergy.

Cobalt↗
PubMed1983

Skin protection against ionized cobalt and sodium lauryl sulphate with barrier creams.

853 individuals who are still working or had previously worked in hard metal manufacture were examined and selected for patch tests with materials from their working environment including metal allergens. The majority of the individuals with positive test reactions to cobalt chloride were retested with serial dilutions of cobalt chloride and with the same serial dilutions after preparation of the skin with a layer of barrier or emollient cream used for hand care in this factory. The irritant effect of sodium lauryl sulphate (SLS) was similarly investigated. The barrier and emollient creams did not give any protection against cobalt chloride or sodium lauryl sulphate. In fact they seemed to enhance the penetration of cobalt ions. Their use in protection against metal allergens and cutting fluids is questionable.

Cobalt↗
PubMed1983

Relationship between nickel and cobalt sensitization in hard metal workers.

853 hard metal workers were examined and patch tested with 20 substances from their environment, including nickel and cobalt. Nickel sensitivity was found in 2 men and 38 women. 88% of the nickel-sensitive individuals had developed a jewelry dermatitis prior to employment in the hard metal industry or before the appearance of hand eczema. 29% of the hard metal workers gave a history of slight irritant dermatitis. In the nickel sensitized group, 40% had had severe hand eczema which generally appeared 6-12 months after starting employment. In 25% of the cases, nickel sensitive individuals developed cobalt allergy, compared with 5% in the total population investigated. Most facts indicate that nickel sensitivity and irritant hand eczema precede cobalt sensitization. Hard metal workers with simultaneous nickel and cobalt sensitivity had a more severe hand eczema than those with isolated cobalt or nickel sensitivity or only irritant dermatitis. 64% of the female population had pierced ear lobes. Among the nickel allergic women, 95% had pierced ear lobes. The use of earrings containing nickel after piercing is strongly suspected of being the major cause of nickel sensitivity. Piercing at an early age seems to increase the risk of incurring nickel sensitivity.

Adult↗
PubMed1983

Patch testing with sodium tungstate.

Hard metal contains about 90% tungsten carbide. In an investigation of the skin of 853 individuals who are still working or had previously worker in hard metal manufacture, sodium tungstate was included in a patch test with a panel of substances from the environment of the employees. No allergic reactions to tungstate were found. However, irritant pustular reactions appeared in 2.0% of the patch tests. The pustular reactions were often reproducible.

Dermatitis, Contact↗
PubMed1982

The Scandinavian standard photopatch test procedure.

Recognizing the growing need for international standardization of photopatch testing techniques, a standard procedure has been used by Scandinavian dermatological clinics since January 1980. The set-up includes a standardized patient examination scheme, including phototest evaluation of the patient's UVA- and UVB-sensitivity, a standard photopatch tray containing 19 substances, and uniform techniques and criteria for the application and evaluation of the tests. Although modifications may be necessary in the future, preliminary experience with the Scandinavian photopatch set-up has been encouraging, and several positive reactions to most of the substances used have been recorded in the first 350 patients tested.

Humans↗
PubMed1981

Dermatological problems in the work environment following childhood skin diseases.

Dermatoses belong to the most frequent occupational diseases. Many of them have an early onset. The dermatoses which appear in early childhood or in adolescence often heal early. However, there are also many patients who continue to have recurrences and exacerbations of their dermatoses into adult life, which is important to know in connection with choice of occupation and occupational health. Occupational problems in patients with atopic dermatitis, psoriasis, allergic contact dermatitis, polymorphus light eruption and acne vulgaris are discussed. Some of the results from a follow-up of 549 individuals who were treated as inpatients at the Dermatological Clinic, Karolinska sjukhuset, Stockholm, in 1952-1956 under a diagnosis of atopic dermatitis, prurigo Besnier or infantile eczema are presented, with emphasis on occupational problems.

Adolescent↗
PubMed1979

Evaluation and relevance of isolated test reactions to cobalt.

During a 5-year period, 286 of 4,034 (7.1%) standard tested eczema patients reacted to cobalt. Fifty (1.2%) showed "isolated" cobalt reactions (i.e. without simultaneous reaction to chromium and/or nickel). A follow-up study of 36 of these patients included a serial dilution test (SDT). Eleven of 15 patients with negative reactions in the SDT had demonstrated weak reactions in the previous standard test, whereas stronger initial reactions had been noted in 19 of 21 patients who reacted positively. Sixteen SDT-positive and six SDT-negative patients were definitely or probably exposed to cobalt in their working or home environments. The majority of patients with "isolated" cobalt sensitivity also had other contact sensitivities (especially to rubber chemicals) or atopic dermatitis. Therefore in some cases of "isolated" cobalt reactions another contact sensitivity or skin disease may be a prerequisite for the development of cobalt allergy. It is however possible that the simultaneous presence of reactivities to different test substances is only a reflection of general skin vulnerability. An uncertainty in testing methodology must also be considered when evaluating test reactions to cobalt. Finally, present results show that cobalt allergy unassociated with contact sensitivity to other substances or other skin diseases is rare.

Allergens↗