Kiss-induced facial urticaria and angioedema in a child allergic to fish.
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Contact allergy to oil of turpentine was reported to have become rare. However, the evaluation of standardized data of 45,005 patients tested 1992-1997 in 30 Dermatological Centers associated with the German-Austrian Information Network of Departments of Dermatology (IVDK) showed an increase in positive patch test reactions to turpentine from 0.5% during the years 1992-1995, up to 1.7% in 1996 and 3.1% in 1997. In particular, 17,347 patients tested in 1996-1997 were evaluated in detail by comparing 431 individuals with positive patch test reactions with the rest of the group found negative to turpentine. Using the so-called MOAHLFA index, the following characteristics were shown. Turpentine allergy (a) was found to be significantly less frequent in men and in patients with occupational dermatitis, (b) showed no difference in its association with atopic dermatitis, (c) patients with turpentine allergy had significantly less symptoms of the hands, more symptoms of the legs or in the face and (d) were significantly more often aged over 60 years. Also, patients sensitized to turpentine had increased rates of additional sensitizations. The definite reason for the increase in turpentine sensitization in the population tested here is not clear. Therefore, a detailed exposure analysis is necessary; the new increase in turpentine allergies may be due to popular topical remedies or household chemicals.
Preservatives such as isothiazolinones in paints have been reported to cause airborne contact dermatitis. The patients whom we report experienced acute dermatitis on air-exposed skin and respiratory symptoms after staying in recently painted rooms. Kathon (methylchloroisothiazolinone/methylisothiazolinone) added as preservative to the wall paint was identified as causative agent. In one individual symptoms rapidly disappeared after treatment of the painted walls with inorganic sulfur salt, which leads to inactivation of the allergenic properties of methylchloroisothiazolinone/methylisothiazolinone. We describe the patients, the clinical course and review the literature pertinent to such cases. In addition we report on the chemical analyses of the decorating paints used, and on experiments on emission and air concentration of methylchloroisothiazolinone/methylisothiazolinone from a painted surface before and after inactivation by sodium bisulfite.
The rôle of contact allergens and aeroallergens in facial dermatitis (FD) was studied. 114 cases of FD were divided into 3 groups. Group 1 comprised 47 cases of facial cosmetic dermatitis (FCD), in which all patients had a history of dermatitis related to cosmetics clinically; group 2 comprised 15 cases of seasonal facial dermatitis (SFD); Group 3 comprised 52 cases of other FD (OFD) that could not be categorized as FCD or SFD. Reactions to contact allergens and aeroallergens were detected using patch testing and intradermal testing, respectively, with non-facial eczematous skin disease patients serving as controls. The positivity rate for each allergen between different groups was compared by the chi2-test. The results show that the positivity rate for fragrance mix in FCD is much higher than in non-FCD (27.7% versus 6.7% in SFD, 7.6% in OFD and 6% in eczema patients, p<0.05). No significant difference was detected for other common allergens, such as PPD, rubber mix, nickel sulfate, and colophonium (p>0.05 for all). These results suggest that fragrance mix contains the main contact allergens in FCD. Patch testing with patients' own products also yields high numbers of relevant results in FCD and OFD. No relevant patch test results were found in SFD, indicating that contact allergy may not be relevant to SFD. No significant difference was observed between intradermal skin reactions to aeroallergens, including pollens and moulds, in SFD, OFD, FCD and controls. These results suggest that Type I reactions to aeroallergens may not be relevant in FD. The rôle of aeroallergens in FD needs to be studied further.
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