Biomedical subjects
Publications and source records attributed to M Bruze.
Antinuclear antibodies with a nucleolar staining pattern appeared in a psoriasis patient during PUVA therapy. No antinuclear antibodies were found after the termination of PUVA but they reappeared one year later together with symptoms consistent with a connective tissue disease. The course was fatal and the clinical and the laboratory investigations suggested a scleroderma-like syndrome.
Para-aminobenzoic acid (PABA) and some of its esters, such as amyl para-dimethylaminobenzoate, ethyl 4-bis(hydroxypropyl)aminobenzoate, 2-ethylhexyl para-dimethylaminobenzoate and glyceryl para-aminobenzoate are used as sunscreen agents. Methods for separating PABA and the 5 mentioned PABA esters by thin layer chromatography and high pressure liquid chromatography (HPLC) are presented. Contamination with PABA and benzocaine were measured quantitatively by the HPLC technique in samples of the 4 PABA esters, using different brands and different batches of the same brand. PABA was detected in all 12 samples examined and benzocaine in 11. The degree of contamination was batch-dependent. Minimal amounts of PABA and benzocaine were found in most batches but in glyceryl para-aminobenzoate both substances were present at a level above 0.1% (w/w). High levels of benzocaine were also detected in batches of ethyl 4-bis(hydroxypropyl)-aminobenzoate.
The building of para-amino compounds is examined. The conception para-amino compounds and para-amino hypersensitivity is often used incorrectly. Examples of incorrect use of this conception are given.
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A case of allergic contact dermatitis to the rubber additive material ethylene thiourea (ETU) is presented. Testing for cross-sensitivity gave a positive reaction to the fungicide Maneb, manganous ethylenebisdithiocarbamate, but this reaction was probably due to ETU which was detected in Maneb by thin-layer chromatography. Different sources of ETU are reported.
19 photo substances were studied by thin-layer chromatography (TLC) as fresh solutions, and during storage under various conditions. Chlorhexidine was excluded as it is sparingly soluble and only used in commercial products as a derivative. Trichlorocarbanilide was the only substance shown to be impure from the start. Only benzocaine, buclosamide, chlorhexidine acetate and chlorhexidine gluconate remained unchanged to the naked eye, and in TLC. The other substances were changed in colour and/or in their TLC-pattern. As extraction method is described which makes it possible to use TLC for the examination of substances in petrolatum preparations. UV-absorption spectra have also been examined for all the substances.
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Toxic epidermal injury was induced in the right forearm and thumb of a 74-year-old woman following two courses of 28 mg/m2 Adriamycin infused in the brachial artery with a three-week interval. The toxic epidermal injury was treated with a wet dressing solution and a neomycin cream without corticoids; it healed in one month. Afterwards the woman received 22 courses of Adriamycin intravenously or intraarterially in 5.5 or 11 mg/m2 doses, but the toxic epidermal injury did not occur.
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During PUVA therapy 7 patients out of 34 with severe psoriasis developed circulating antinuclear antibodies (ANA) (21%). Before treatment only 3 patients of 50 (6%) considered for PUVA had detectable ANA. The ANA titres were usually low. Antibodies against native DNA as studied with the Crithidia luciliae test, were not found, and blood and urinary screening for collagenosis was negative. All 7 patients responded well to the PUVA treatment. The significance of these findings remains to be determined.
A case of liver injury caused by 8-methoxypsoralen given orally during PUVA therapy is presented. The reaction, manifested by elevated serum alanine-aminotransferase and serum aspartate-aminotransferase, was provoked on three consecutive occasions, on the last one with 8-MOP only. The liver injury seems to be of the hepatocellular and nonpredictable type.
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In dentistry, allergic contact dermatitis to acrylates and allergic contact urticaria to latex are important occupational hazards. There is a need to identify non-latex gloves which are suitable for dental work but at the same time provide adequate protection against acrylate monomers. In a previous study, a new open-chamber system was used for testing the in vivo protection of 6 different gloves against an acrylate-containing ethanol-based dental adhesive. A nitrile glove gave the best protection among the gloves suitable for dental work. In the present study, the test model was used to investigate the in vivo protection of 7 non-latex gloves against a dental bonding product containing 2-hydroxyethyl methacrylate (2-HEMA) in an acetone/water vehicle. Eight 2-HEMA-allergic patients participated. Two neoprene gloves gave the best protection. The protection of the poorest glove was comparable to that of the positive control (no glove). The study produced in vivo data useful in the implementation of individual preventative measures against contact allergy to acrylates.
Of patch-tested patients with dermatitis, 4-5% are allergic to corticosteroids. Four groups of corticosteroids are recognized (A-D), where substances from the same group may cross-react. We investigated the potential cross-reactivity pattern and dose-response relationship for several corticosteroids from group A. We also included the corresponding aldehyde to hydrocortisone, as this degradation product has been proposed to be immunogenic. Eleven patients shown to be allergic to tixocortol pivalate were patch-tested with several corticosteroids from group A, as well as with the aldehyde, all in serial dilutions. All 11 reacted to both tixocortol pivalate and hydrocortisone. The dose-response relationship for the corticosteroids tended to be similar to sensitizers lacking anti-inflammatory potential. Patients with simultaneous reactions to many substances had high patch-test reactivity to tixocortol pivalate and hydrocortisone, while patients with few such reactions showed low reactivity (p=0.001 and 0.003, respectively). Several patients reacted to the aldehyde, supporting the theory that it is an intermediate in sensitization.
A total of 2261 (808 male, 1453 female) consecutive patients attending contact dermatitis clinics were patch tested to isoeugenol and its derivatives listed in the EU Inventory of Fragrance Ingredients. Positive reactions were found to isoeugenol in 40, transisoeugenol in 40, isoeugenyl acetate in 19, isoeugenyl benzoate in 4, isoeugenyl phenylacetate in 16, isoeugenyl methyl ether in 6 and benzyl isoeugenyl ether in 2 patients. There was a concomitant reaction to isoeugenol in 36/40 of those positive to transisoeugenol, 13/19 of those to isoeugenyl acetate, 3/4 of those to isoeugenyl benzoate and 15/16 of those to isoeugenyl phenylacetate but in none of those 6 positive to isoeugenyl methyl ether and in neither of those 2 positive to benzyl isoeugenyl ether. Concomitant contact allergy between isoeugenol and its derivatives may occur through chemical cross-reactivity or local skin metabolism of the derivatives. It is more commonly observed with the esters rather than the ethers. Isoeugenyl acetate has been proposed as an alternative to isoeugenol, but there is a high degree of concomitant reactivity with isoeugenol.
In December, 1985, and February, 1986, skin diseases were investigated among workers in a plant producing printed circuit boards made of copper sheets and fiberglass fabric impregnated with a brominated epoxy resin. A questionnaire was sent to all 159 employees, 143 responded (89.9%). Previous or current dermatoses were reported by 84 workers and 79 of these were examined and patch tested. The patch testing was conducted with a standard test series and with products from the work environment. These tests revealed contact allergy to diglycidylether of bisphenol A ("epoxy") in 6 persons. Besides these 6 individuals with occupational allergic contact dermatitis, occupational dermatoses were diagnosed in an additional 29 workers; irritant contact dermatitis in 28 and chemical burn in one. Altogether, 35 (22.0%) demonstrated evidence of occupational dermatoses.