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Biomedical subjects

C Lidén

Publications and source records attributed to C Lidén.

At least 37 records · Page 2Linked to original sources
PubMed1995

Environmentally friendly paper may increase risk of hand eczema in rosin-sensitive persons.

BACKGROUND: A connection between patch test reactions to paper extracts and contact allergy to rosin (colophony) has been demonstrated. OBJECTIVE: We wanted to determine whether a difference in the allergenic activity of various types of paper is related to a difference in the pulp. METHODS: Patients with dermatitis who were frequently exposed to paper were patch tested with extracts from various papers and the standard series. The extracts were also tested in volunteers with or without contact allergy to rosin and in animals. The rosin compounds in the papers were analyzed by gas chromatography. RESULTS: The subjects reacting to paper extracts also reacted to rosin. Most reactions were found to the papers produced from mechanical pulps, which contained the highest analyzed amounts of rosin compounds. Animals sensitized to rosin reacted only to paper from mechanical pulp. CONCLUSION: Papers based on mechanical pulps that are considered to be environmentally friendly have a greater potential to elicit positive patch test reactions than papers made from other pulps. The increased use of mechanical pulps in different applications may increase the incidence of rosin-related hand eczema.

Abietanes↗
PubMed1995

Are opera-house artistes afflicted with contact allergy to colophony and cosmetics?

The frequencies of cosmetics intolerance and contact allergy to colophony were investigated among 116 singers and dancers and 16 make-up artists. Participants were interviewed, examined and patch tested with a standard series and materials from the opera house. Common skin lesions were found in 1/3 of participants and more than 50% had a history of intolerance to cosmetics. Colophony gave positive patch test reactions in only 3 subjects. The prevalence of positive patch test reactions to fragrance mix and balsam of Peru was about the same as among dermatitis patients generally. Contact allergy to colophony did not seem to be a problem regarding cosmetics.

Adult↗
PubMed1994

Occupational contact dermatitis due to nickel allergy.

Contact allergy to nickel is a large dermatological problem affecting 10-15% of women and 1% of men in the general population. The aim of this study was to illustrate the significance of occupational nickel exposure in men. Patch testing was carried out to identify patients with nickel allergy and the dimethylglyoxime test was used to identify sources of nickel exposure. 8% of the men and 30% of the women were patch-test positive to nickel. Most of the patients had hand eczema, and a few had facial eczema. Tools and equipment used in different jobs by workers such as carpenters, electricians, painters, and plumbers were often found to cause nickel release. Black-nickel plating is used for optical equipment while cold-sealing of aluminium with nickel is a method of treating anodized aluminium. Both black-nickel and cold-sealed aluminium were found to be unexpected causes of dermatitis due to nickel release. Sources of occupational nickel exposure are often missed by dermatologists, due to lack of knowledge. Occupational nickel exposure is however important to identify, and the dimethylglyoxime test is a helpful tool.

Dermatitis, Allergic Contact↗
PubMed1994

Attempts to mimic the repeated open application test in the guinea pig.

The aim was to mimic the repeated open application test (ROAT) procedure, well established in humans, in an animal model. Guinea pigs were induced with cobalt chloride (CoCl2). They were then challenged by repeated open application (4 sites/animal) of various concentrations of the allergen in 10% DMSO 1 x a day for 7 days, to study dose dependency, morphology of test reactions and time course. The reactivity at the test sites to repeated open application was dose- and time-dependent. There was good agreement between the results of the treatments with CoCl2 and the post-treatment patch test results. Among 26 of the 29 animals, such agreement was found when 10% DMSO was used as vehicle. However, some reactivity was also observed in pretests at sites exposed to petrolatum. We suspect that this may be due to contamination and/or irritancy of the vehicle.

Administration, Cutaneous↗
PubMed1994

Cold-impregnated aluminium. A new source of nickel exposure.

A new technique for finishing anodized aluminium was introduced during the 1980s--cold impregnation with nickel. Nickel is available on the surface of cold-impregnated aluminium, as shown by the dimethylglyoxime test. Chemical analysis with EDXA showed that nickel was in the form of NiSO4. A case of work-related allergic contact dermatitis in an engraver with nickel allergy is reported. It transpired that the patient was exposed to nickel in connection with aluminium. It is concluded that cold-impregnated aluminium is a new source of nickel exposure, probably previously unknown to dermatologists.

Adult↗
PubMed1994

A clinical and patch test study in a tall-oil rosin factory.

Rosin of different sources is commonly used in many technical products and is known to cause contact allergy. The aim of the present investigation was to study the frequency of occupational dermatoses and of contact allergy to rosin in a factory producing tall-oil rosin. 163/180 present employees and 17/35 former employees participated in the study, which consisted of interview, clinical examination and patch testing with a standard series and additional rosins. 1/4 of those examined had some kind of current skin lesion. There were 10 cases of hand eczema. 7 subjects were patch-test-positive to gum rosin in the standard series. This frequency is about the same as among dermatitis patients at our clinic. Only 1 reaction to tall-oil rosin and none to the modified rosins tested were found. No relation between a positive patch test reaction to rosin and current skin disease could be established. No case of ongoing occupational skin disease was proved.

Adult↗
PubMed1994

Cross-reactivity to metal compounds studied in guinea pigs induced with chromate or cobalt.

Multiple sensitivity to metals is often seen in humans. This may be due to cross-reactivity or to multiple sensitization. The pattern of cross-reactivity to some metal compounds was studied, using the guinea pig maximization test method. Animals were induced with K2Cr2O7 and CoCl2, respectively, and then challenged with K2Cr2O7, CoCl2, NiSO4, PdCl2 and RhCl3. No simultaneous reactivity was recorded. This supports the view that simultaneous reactivity in patients to nickel-cobalt and to chromate-cobalt is due to multiple exposure and sensitization, and not to cross-reactivity. The purity of the test compounds was analysed.

Animals↗
PubMed1993

Nail varnish allergy with far-reaching consequences.

Contact allergy to nail varnish is well-known, and toluene-sulphonamide formaldehyde resin (TSAfr) was identified as the main allergen in 1943. During the period October 1989-December 1991 we identified 18 cases of contact allergy to nail varnish. The aim of the study was to describe the clinical picture, patch-test results, course and socio-medical consequences. Seventeen of the 18 patients were patch-test positive to TSAfr and 17/18 were positive to their own nail varnishes. Fourteen of the 18 were also positive to one or more substances in the standard patch-test series. The lesions were scattered, involving the face, eyelids, neck and hands. Periungual lesions were recorded in 11/18. The dermatitis resolved within a few weeks when the use of nail varnish was stopped. The socio-medical consequences of contact allergy to nail varnish had been severe: sick leave (nine cases), hospitalization (four cases), cessation of visual-display-unit (VDU) work (two cases), and job-loss (two cases). Our conclusions are that contact allergy to nail varnish and TSAfr is common; the socio-medical consequences may be severe; periungual lesions occur more frequently than previously stated, and the presence of other contact allergies makes the diagnosis easy to miss. TSAfr should be included in the standard patch-test series and patients should also be tested with their own nail varnishes. The study illustrates the need for mandatory declaration of the ingredients of cosmetics, as is required in the U.S.A.

Adult↗
PubMed1993

Dose-response testing with nickel sulphate using the TRUE test in nickel-sensitive individuals. Multiple nickel sulphate patch-test reactions do not cause an 'angry back'.

The aim of this study was to employ the TRUE test assay to confirm the presence or absence of the 'angry back' phenomenon, i.e. that a strong positive patch-test reaction heightens adjacent patch-test response. In addition, we wished to establish the dose-response relationship for nickel sulphate patch tests among nickel-sensitive patients. Seventy-two nickel-sensitive patients, 36 in Odense and 36 in Stockholm, were tested with a 10-step nickel sulphate dilution series (TRUE test) and two placebo patches. The position of the patches was rotated, to provide a balanced spatial distribution of the different concentrations. Readings were performed blind. The results were analysed by means of polynomial multiple-regression methods and a logistic dose-response model. Half the patients (38/72) had a threshold patch-test concentration for nickel sulphate in the range of 3-0.3 microgram/cm2. The 'angry back' phenomenon was not apparent in this study, as the spill-over effect was not statistically significant. Strong reactions to high concentrations of nickel sulphate did not enhance the response to adjacent lower concentrations of nickel sulphate.

Dermatitis, Allergic Contact↗
PubMed1992

Colophony (rosin) in newspapers may contribute to hand eczema.

Two groups of patients were studied, one with known contact allergy to colophony and hand eczema, 'colophony patients', and the other consisted of patients who suspected that their eczema was caused by contact with paper, 'paper patients'. The 'colophony patients' were patch tested with samples of newsprint paper, while the 'paper patients' were tested with samples of their own paper. Extracts of the paper and paper were applied. Testing with paper caused no reactions. All 'colophony patients' showed strong reactions to the tested extracts of newsprint paper. None of the 'paper patients' reacted to the extracts of their own paper, except those patch-test positive to colophony or maleopimaric acid, the main component of one type of modified colophony in paper size and shown experimentally to be a potent sensitizer. Colophony in paper may contribute to hand eczema in sensitized patients and the use of cotton gloves when in contact with paper might alleviate the dermatitis.

Abietanes↗
PubMed1992

Studies on the allergenicity of Baltic amber.

Baltic amber is a fossil resin deposited 36-7 million years ago and one source may be the extinct tree Pinites (Pinus) succinifer. Palaeobotanical studies of amber have an extensive literature, but the aspect of allergenicity has not been addressed before. The aim of our study was to present the results from sensitization studies with Baltic amber and to discuss these in view of possible cross-reactivity with contact allergens in colophony. It is concluded that allergens found in colophony can also be present in Baltic amber. The main resin acids were identified in an ether-soluble extract of amber. Amber suspended in petrolatum caused positive patch test reactions in patients with contact allergy to colophony. Furthermore, animals sensitized to colophony showed positive reactions to amber, but animals induced with amber did not react when challenged with amber. A use test with an amber necklace in patients with positive test reactions to amber and colophony was negative, which supports the view that amber in personal ornaments is not a clinical problem.

Animals↗
PubMed1992

Further investigation of the prohapten concept: reactions to benzene derivatives in man.

p-Phenylenediamine (PPDA) is a strong contact sensitizer which is included in the standard patch test tray and which can also act as an indicator of allergy to related substances by virtue of cross-reactions. In a previous study, the pattern of cross-reactions between PPDA and related substances was investigated in the guinea pig to evaluate the prohapten concept. The results provided some support for this concept, but also indicated that a number of reactive intermediates might be behaving as haptens. This work has now been extended to an examination of the prohapten concept in man in PPDA-allergic subjects. These subjects were tested with 7 substituted benzenes, plus PPDA. Of these, the 1,4-substituted benzenes hydroquinone, Metol, PPDA and p-aminophenol are all capable theoretically of giving rise to benzoquinone by oxidation (after demethylation in the case of Metol). However, as had been the case in the guinea pig, only a limited degree of cross-reaction was observed. Only one of the subjects allergic to PPDA gave a clearly positive allergic reaction to benzoquinone. The data provided only limited support for the prohapten concept in terms of benzoquinone as the ultimate hapten for a range of 1,4-substituted benzenes. As indicated in the guinea pig, a range of reaction intermediates or indeed other oxidation products may be involved. So, for each molecule, the sensitizing activity and potential to give rise to cross-reactions may depend on the balance between routes of skin metabolism.

Adult↗
PubMed1991

Colophony in mascara as a cause of eyelid dermatitis. Chemical analyses and patch testing.

Contact allergy to various components in cosmetics may cause eyelid dermatitis. Of 8 mascaras analysed with High Performance Liquid Chromatography (HPLC), 3 contained colophony. Patients with contact allergy to colophony showed positive patch test reactions when tested with the two mascaras with the highest content of colophony. One mascara without colophony but containing nickel, gave positive reactions in persons with contact allergy to nickel.

Blepharitis↗
PubMed1990

Facial dermatitis caused by chlorothalonil in a paint.

A case of acute facial dermatitis caused by staying in a summer cottage is described. Patch testing revealed contact allergy to the paint På Trä Lasur, and to chlorothalonil. Chlorothalonil was used as a pesticide in the paint. Chemical analyses using high-performance liquid chromatography and gas chromatography/mass spectrometry were performed to reveal the purity of the chlorothalonil. Chlorothalonil has earlier been described as a contact allergen, sometimes causing facial dermatitis. The reason for localization to the face has not before been discussed. It is now suggested that it might be due to the high vapour pressure of chlorothalonil. It is concluded that products containing chlorothalonil are unsuitable for indoor use.

Dermatitis, Contact↗
PubMed1989

Occupational dermatoses at a film laboratory. Follow-up after modernization.

The occurrence and causes of occupational dermatoses at a film laboratory following modernization was studied. In 1983 the film laboratory moved to new premises built to reduce exposure to hazardous chemicals. The study was carried out during 1983-1986 with repeated interviews and dermatological examinations of all employees (78 subjects) and patch testing those with a history of or with current chemical exposure or dermatitis (65 subjects). Of 54 chemically exposed subjects, 34 (63%) had a history of occupational dermatoses, and 12 (22%) were contact allergic to film chemicals. Current, probable occupational dermatoses were observed in 13 subjects--thereof 8 with hand eczema. No new case of occupational skin disease occurred during the investigation period, except for 1 case of ulceration from an acid splash. Petrolatum mixtures of the colour developing agents, Metol and hydroquinone were found most suitable for patch testing, since these chemicals are unstable and/or cause irritation in aqueous solutions. It is concluded that occurrence and severity of occupational dermatoses had been reduced by the technical measures taken to reduce chemical exposure.

Aminophenols↗