Biomedical subjects

T Menne

Publications and source records attributed to T Menne.

23 records · Page 2Linked to original sources

PubMed1978

Nickel excretion in urine after oral administration.

In recent years the importance of internal exposure to nickel in patients with recurrent hand eczema and nickel allergy has become evident. The present study was performed in order to investigate the value of urinary nickel determinations as an index of oral nickel intake. After oral administration of 5.6 mg nickel (as the sulfate), increased nickel excretion was found over the following 2-3 days. We conclude that consecutive urinary nickel determinations are able to disclose variations in oral intake of nickel.

Administration, Oral↗

PubMed1978

The prevalence of nickel allergy among women. An epidemiological study in hospitalized female patients.

Through an interview examination among hospitalized female patients the prevalence of nickel allergy has been found unexpected high. 241 patients have been invesitgated, of them 20 gave history compatible with nickel allergy. Five of them had had hand eczema, the four of them only for short periods. The study concludes, that larger epidemiologic studies are necessary to evaluate the frequence of hand eczema in nickel sensitive patients and its prognosis in relation to environmental factors.

Adolescent↗

PubMed1977

Allergic contact dermatitis from fluocortolone, flucocortolone pivalate and fluocortolone caproate.

Two patients with contact allergy to Ultralan preparations are reported. Each Ultralan preparation contains two of three related fluocortolone derivatives. The first patient reacted to all three derivatives. The second patient reacted to flucortolone and when retested 4 months later also to fluocortolone pivalate but ot to flucortolone caproate. The negative reaction to fluocortolone pivalate at the first examination was probably false negative due to a low test concentration. In order to avoid false negative patch test reactions the fluorinated steroids should possibly be applied in concentrations higher than 1%. No cross sensitivity to the other steroids for topical use was found.

Aged↗

PubMedDate not supplied

Some adverse effects of disulfiram in the treatment of nickel-allergic patients.

A retrospective follow-up study is reported of 58 women and 3 men with nickel allergy and hand eczema, of at least 4 months duration, treated with 50 to 400 mg disulfiram per day for 4 to 56 weeks. 2 patients were given 2 treatment series, making a total of 63 treatment series. 11 patients (20%) developed biochemical evidence of hepatotoxicity. 5 of them developed clinical evidence of hepatitis, which, for 4, was verified by liver biopsy. The patients with hepatotoxcity were significantly older than those who did not have this side effect. No correlation could be seen between the cumulative or maximum dose of disulfiram, the duration of the therapy and whether or not the patients showed evidence of hepatotoxicity. In 29 treatment series the dermatitis healed, while improvement was seen in 19 and no change in 15. There was no difference in the results whether maximum daily doses of 50, 200 or 400 mg were given. Follow-up examinations showed that the eczema recurred within a month after termination of therapy in 50% of the patients who improved during disulfiram therapy. Recurrence was seen within 6 months for another 40% of the patients.

Adolescent↗

PubMedDate not supplied

Treatment of nickel dermatitis. (The influence of tetraethylthiuramdisulfide (Antabuse) on nickel metabolism).

Nickel is the most common cause of allergic contact dermatitis in females. The dermatitis can be maintained both by direct contact and by ingestion of nickel. In 9 out of 17 patients suffering from dermatitis, a diet with a low nickel content has improved their condition. Eleven patients with chronic nickel hand dermatitis were given a daily dosage of 200 to 400 mg of tetraethylthiuramdisulfide (Antabuse). Antabuse is metabolized to the nickel chelating substance sodium diethyldithiocarbamate. In eight patients, the dermatitis cleared. Measurements of serum and urine nickel were performed in six patients. One week after the start of the Antabuse treatment, the urine nickel rose from 1 to 3.6 micrograms per 24 hours to 8.3 to 76.0 micrograms per 24 hours. The serum nickel rose from 0.26 to 0.80 micrograms per 1 to 2.0 to 7.7 micrograms per 1. In four patients the serum nickel exhibited a declining tendency during the treatment period. The results suggest that Antabuse is able to reduce the nickel deposits in man.

Dermatitis, Contact↗