Contact dermatitis from plants in a geriatric nurse.
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Biomedical subjects
Publications and source records attributed to I Leanizbarrutia.
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15 cases of contact dermatitis to Primula obconica Hance are reported, 14 female and 1 male. None were of occupational origin. The incidence among our patients increased from 0.45 to 3.4% when we included an ether extract of primula in our standard series. A doubtful patch test reaction was found in 19.6% of the patients tested. Active sensitization was observed in 5 of 20 patients retested 1-16 months later.
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As a complementary study to a previous work (14) in which we examined 43 cases of contact dermatitis to plants, we have taken a closer look at the provocative cases which made up 76% of that study - Allium (garlic) (11 cases), Primula (8), Frullania (8) and Compositae (6). The clinical methodology, preparation of extracts and execution of the skin tests were identical to those described in the previous study (14). Patients with sensitivity to Frullania and Compositae were submitted to standard skin tests as shown in table II. These patients were also tested with a 0.1% preparation of Helenin in vaseline. The eleven cases of sensitization to Allium sativum L (garlic) corresponded to women whose primary or secondary profession was that of a housewife. In each case, the reaction was in the form of pulpitis, typically affecting the thumbs, left middle and index fingers and right thumb, which are those that have the greatest contact with the garlic bulb. Primula obconica Hance was responsible for the sensitization of 7 women and 1 man. In two of the patients, the positive test result was unrelated to the clinical picture for which the patients sought medical attention. In one of the two cases, the patient had had prolonged, previous contact with Primula but without reaction. In the other case, the origin of the reaction could not be established. The contact dermatitis produced by Primula are located principally in the face and hands.(ABSTRACT TRUNCATED AT 250 WORDS)
The proliferation of house and garden plants, some of them highly sensitizing, produced by the general improvement of the standard of living, is causing an increase in the number of cases of contact dermatitis from plants with both irritative and allergic mechanisms. During the past 12 years, we have studied 43 cases of allergic eczema caused by plant contact as primary sensitization which supposes 2.4% of the patients with allergic contact dermatitis attended in our Services. The majority of patients were women (65%) as opposed to 35% men while the ages varied from 12 to 70 years with an average of 44.5. Below the age of 25 there were only 3 cases (6.9%) 12, 18 and 20 years respectively. In the clinical study, as well as the profession, secondary activities and hobbies were also evaluated. Through localization of lesions, an attempt was made to determine how the patient came in to contact with the different plants. The diagnosis was confirmed by the use of epicutaneous tests, as recommended by the ICDRG (3). Some plants in a natural state were used but etheral extracts were preferred. In cases of photo-dermatitis, photo-patch-tests were carried out using standard photo-sensitizers and suspected plants. The plants found to be responsible were: Allium (garlic) in 11 cases, Frullania in 8, Primula (primrose) in 8. Compositae (composites) in 6, Pinus (pine) in 3, Umbelliferae (umbellifers) in 3, Philodendron (philodendron) in 1, Pelagonium (pelargonium) in 1, Citrus (citrus) in 1 and Chlorophora (iroko) in 1. The frequency of reactions to garlic and primrose is particularly interesting and their characteristics will be the object of a later study.(ABSTRACT TRUNCATED AT 250 WORDS)