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K Lammintausta

Publications and source records attributed to K Lammintausta.

50 records · Page 3Linked to original sources
PubMed1985

Interrelationship of nickel and cobalt contact sensitization.

The possible modulating effect of previous nickel sensitization on subsequent cobalt sensitization, and vice versa, was studied in a guinea pig model, using an open epicutanous induction protocol. Challenge tests were made by both topical and systemic routes. Controls included animals sensitized to only one of the metals. Animals sensitized with both metals seemed to react more readily in patch testing to either allergen, as compared to mono-sensitized animals. Systemic challenge with cobalt revealed a significantly (p less than 0.05) higher reaction rate (70%) in animals originally sensitized to cobalt and subsequently to nickel, as compared to the reaction rate (20%) in cobalt mono-sensitized animals. The reverse order of double-sensitization (nickel first, cobalt subsequently) led to an intermediate cobalt sensitization rate (50%). These experimental data corroborate clinical findings which have indicated a mutual enhancing effect of nickel and cobalt contact sensitization in man, and provide an animal model for studying the underlying immunological processes.

Animals↗
PubMed1985

Sensitivity to rubber. Study with rubber mixes and individual rubber chemicals.

During a 3-year period 3332 patients were patch tested with ICDRG standard series including 4 rubber mixes. Additional tests were performed with individual rubber chemicals and suspected solid rubber products. Rubber sensitivity was detected in 158 (4.7%) patients. Thiuram mix caused most of the positive reactions (73) followed by carba mix (51), PPD mix (40) and mercapto mix (19). From the individual rubber chemicals TMTM, TETD and IPPD caused allergic reactions most frequently. Rubber mixes, especially thiuram and PPD mix appeared to be better screening agents than any individual chemical to detect rubber allergy. However, MBT is recommended to be tested separately. Carba mix caused several irritant reactions. Three immediate type rubber reactions were seen. Gloves were the most common individual sources of rubber sensitivity.

Dermatitis, Contact↗
PubMed1984

24 and 48 h allergen exposure in patch testing. Comparative study with 11 common contact allergens and NiCl2.

Patch test reactions to 11 common contact allergens were studied after 24 h and 48 h occlusion with Finn Chambers in 390 patients. Concordant allergic results were found in 96 cases (74%). In 22 patients (17%), the reaction was positive only after 48 h and in 11 cases (8.5%) only after 24 h exposure. Most of the discordant reactions were to nickel, cobalt, neomycin, formaldehyde and perfume mix. Irritant reactions were found in 55 cases, the majority occurring after 48 h occlusion. Nickel chloride tested in parallel with 48 h exposure lead to more positive allergic and toxic reactions than nickel sulphate.

Allergens↗
PubMed1982

Occurrence of contact allergy and hand eczemas in hospital wet work.

The occurrence of contact sensitivity and hand dermatitis was studied in hospital employees. The incidence of contact allergy was 21%. Nickel (9%) was the most common allergen followed by perfumes (6%). Present of previous hand dermatitis was detected in 46%. Of those with positive reactions, 53% had suffered from hand dermatitis as compared to 44% of those without positive reactions. 70% of those with sensitivity to fragrances had suffered from hand dermatitis. The occurrence of hand dermatitis was more frequent in persons, who had developed contact allergy to rubber chemicals or to both nickel and cobalt simultaneously.

Allergens↗
PubMed1982

Course of hand dermatitis in hospital workers.

The occurrence and course of hand dermatitis in hospital workers was studied on the basis of the patient register of an occupational specialist and by a clinical follow-up study. About 1% of all the hospital workers had had dermatitis, cleaners, kitchen workers and nurses most frequently. 54% of the patients who were clinically studied had suffered from periodic symptoms and 35% had current hand dermatitis. Those who had previous or present atopic dermatitis had most frequently developed dermatitis during the first year of their service. An atopic constitution seemed to predispose to the development of permanent or periodic hand dermatitis. The patients with sensitivity to nickel or fragrances had relapses in the majority of cases. During the study period, the incidence of new dermatitis cases was constant, but the number of days sick leave showed a decreasing tendency.

Adult↗
PubMed1982

Contact allergy in atopics, who perform wet work in hospital.

The relation of atopy, i.e. previous or present atopic dermatitis, allergic rhinitis/conjunctivitis and asthma, to contact allergy in hospital employees, who perform wet work, was studied. Patch tests were carried out with the ICDRG standard series. Among these workers the frequency of contact allergy was similar in nonatopics (21%) as in atopics (22%), who represented 33% from the whole group. Atopics were sensitized more often to balsam of Peru (5.1%) as well as to fragrances in total (8,5%) than nonatopics, (1.7% and 4.1%, respectively) (p less than 0.05). Same kind of tendency was found in the amount of rubber reactions, though the difference was not statistically significant. Nickel was the most common allergen in all workers.

Allergens↗
PubMed1981

Atopy and hand dermatitis in hospital wet work.

The relation of different atopic symptoms to the occurrence of hand dermatitis in employees who perform wet work in hospitals was studied. Atopy was defined as previous or present atopic dermatitis (AD), allergic rhinitis/conjunctivitis or asthma (AMS). In this population the prevalence of atopy was 32% and the frequency of past or present hand dermatitis 44%. Hand dermatitis had occurred in about 65% of persons with atopic symptoms and in 75% of those who had unusually dry, pruritic skin and of those with atopic relatives. Of the other workers only 33% had had skin problems. The presence of atopic symptoms significantly favoured the development of hand dermatitis in these occupations (p less than 0.001).

Adult↗
PubMed1980

The renin-aldosterone system in low-dose chlorothiazide treatment of hypertensive subjects.

Eight patients with essential hypertension were treated with chlorothizide 250 mg daily for 4 weeks with 500 mg daily for further 8 weeks. Both systolic and diastolic blood pressures (BP) decreased significantly during the lower dosage (p < 0.05). Only the diastolic BP continued decrease during the higher dosage regimen of chlorothiazide (p < 0.05). Plasma renin activity (PRA) and plasma aldosterone (PA) did not increase during the lower dosage of chlorothiazide. During 4 weeks on the dosage of 500 mg of chlorothiazide daily, PRA increased by 79 per cent (p < 0.001) and PA by 66 per cent (p < 0.001) from the level of the lower dosage. During the next 4 weeks, no changes in PRA or PA were seen. The result shows the strong compensatory activation renin-aldosterone system on the usual chlorothiazide therapy. In spite of a decrease in BP, the lower dosage was not accompanied with any significant compensation. Renin-aldosterone system during diuretic therapy not only causes the so-called false tolerance to antihypertensive effect, but also potentiates the loss of potassium. This can best be avoided by using the minimal effective dosage of the diuretic drug.

Adolescent↗
PubMed1979

The pharmacokinetics of dapsone and acetylated dapsone in serum and saliva.

The concentrations of dapsone (DDS) and its acetylated derivatives (MADDS and DADDS) were determined in the serum and saliva after one oral dose of dapsone until 72 hr. The peak serum concentrations of DDS and MADDS were reached, on average, at 3.8--4.3 hr after the dosage. The amounts of DADDS were negligible. The elimination half-life of the first order kinetics was, on average, at 20--21 hr for both DDS and MADDS. The study group included 6 rapid acetylators and 4 slow acetylators with the mean ratios MADDS/DDS 1.0 and 0.19, respectively. No difference in the pharmacokinetics of DDS or MADDS could be seen between the rapid and slow acetylators. The protein-free fractions of DDS and MADDS were 50 and 41 per cent, respectively, of the total serum concentrations as measured at 8 and 32 hr after the dosage. The salivary concentration of DDS was, on average, 49 per cent of the total serum concentration during the whole study period. The salivary concentration of MADDS was 40 per cent, respectively. The elimination half-life of DDS and MADDS in saliva did not differ from that in serum. Between the salivary and serum protein-free concentrations a strict correlation existed (p less than 0.001). The salivary concentration of dapsone and its monoacetyl derivative reflect the protein-free, active drug in serum.

Acetylation↗
PubMedDate not supplied

Dermatologic considerations in worker fitness evaluation.

Dermatoses account for a very high percentage of all occupational diseases. The authors review individual factors that increase the risk of work-related skin disease and present information to assist in the evaluation of individuals in preemployment situations and for guidance and counseling prior to occupational choices.

Dermatitis, Occupational↗
PubMedDate not supplied

Mechanisms of subjective (sensory) irritation. Propensity to non-immunologic contact urticaria and objective irritation in stingers.

Subjective (sensory) irritation was studied with lactic acid test on 74 females; 8 reacted positively with "stinging" and/or itching or burning and another 5 had mild subjective sensations. History of previous corresponding sensations from contact with cosmetic products was significantly more common in stingers than in non-stingers (p less than 0.001); other factors, such as dermatologic history, sensitivity to ultraviolet light or skin dryness had no characteristic patterns. In the objective, immediate non-immunologic contact urticaria tests with sorbic acid and benzoic acid, the stingers developed significantly more erythema to 0.5% sorbic acid (p less than 0.05) and to 1% benzoic acid (p less than 0.02). 1% sorbic acid also induced more edema in stingers (p less than 0.02). Increased reactivity to a 24 h sodium lauryl sulfate (SLS) patch test was demonstrated only with laser Doppler velocimetry (p less than 0.05). Stingers and non-stingers reacted similarly to open, cumulative SLS irritation as measured with transepidermal water loss. These studies provide clinical and biological information about subjective irritation; the data suggest a functional correlation for the what had been considered a purely subjective (sensory) phenomena.

Adolescent↗