Allergic hand eczema

Taylor JS, Praditsuwan P (1996) Latex allergy. Review of 44 cases including outcome and frequent association with allergic hand eczema. Arch Dermatol 32 265-271... 

A 33-year-old woman with atopic hand eczema and allergic rhinitis was given Noviform, an eye ointment containing bibrocathol (bismuth oxide and tetrabromo-cathechol), for periorbital dermatitis and noticed an exacerbation of her dermatitis (32). A patch test was positive for bismuth oxide. 

Contact with propylene oxide may cause severe skin and eye irritation. Cases of allergic contact dermatitis and hand eczema have been described. Inhalation of propylene oxide may result in spasm, inflammation, and edema of the larynx and bronchi, as well as pulmonary edema leading to pneumonia. Symptoms of exposure may include burning sensation, coughing, wheezing, headache, nausea, and vomiting. Propylene oxide may cause central nervous system depression and other neurological disorders. 

One case of allergic contact dermatitis from 1,1,1 -trichloroethane was located in the literature (Ingber 1991). A worker whose job included using 1,1,1-trichloroethane to clean metal plates developed severe acute hand eczema soon after starting the job. The eczema persisted throughout 3 years of employment. Patch tests at that time showed a positive reaction to 1,1,1 -trichloroethane. The eczema disappeared after a few weeks when contact with 1,1,1-trichloroethane was avoided. The possibility the allergic reaction to being caused by 1,1,1-trichloroethane stabilizer was not discussed. 

Nielsen GD (1992) Oral challenge of nickel-allergic patients with hand eczema. In Nieboer E and Nriagu JO, eds. Nickel and Human Health ... 

Workers in the paint manufacturing industry and painters have experienced occupational diseases, especially dermatosis affecting the hands and arms. Whereas several paint components have been shown to cause non-allergic and allergic contact eczema, organic solvents were shown to provoke mainly non-allergic contact eczema and some solvents cause only irritation (e.g., some ketones and esters). 

In 84 male woodwork teachers there was a high incidence of allergic reactions to colophony using patch tests to a supplemented European standard series and acetone extracts of wood dust of pine, spruce, juniper, and birch 19% had mild hand eczema and there was contact allergy to several allergens in the working environment, including benzisothiazolin-3-one, nickel, formaldehyde, and colophony [52 ]. 

Mozzanica N (1992) Pathogenetic aspects of allergic and irritant contact dermatitis. Clin Dermatol 10 115-121 Nilsson E (1986) Individual and environmental risk factors for hand eczema in hospital workers. Acta Derm Venereol Suppl (Stockh) 128 1-63... 

Estlander T, Jolanki R, Kanerva L (1994a) Allergic contact dermatitis from rubber and plastic gloves. In Mellstrom G, Wahiberg JE, Maibach HI (eds) Protective gloves for occupational use. CRC Press, Boca Raton, pp 221-239 Estlander T, Jolanki R, Kanerva L (1994b) Protective gloves. In Menne T, Maibach H (eds) Hand eczema. CRC Press, Boca Raton, pp 311-321... 

Bjorkner A (1968) Skin reactions to primary irritants in patients with hand eczema. O Isacson Tryckeri, Gothenburg Bjornberg A (1968) Skin reactions to primary irritants in patients with hand eczema. Thesis Isacsons, Goteborg Boffa MJ, Beck MH (1996) Allergic contact dermatitis from quaternium 15 in oilatum cream. Contact Dermatitis 35 45-46... 

Colophony in soldering fluxes for electronic assemblies is a well-known cause of allergic contact dermatitis. Since the allergens can be airborne, facial dermatitis is not uncommon, in addition to hand eczema (Widstrom 1983 Liden 1984 Goh and Ng 1987 Koh et al. 1990). Paint, lacquers and glues can contain colophony, but reports of contact allergy to these... 

Fischer T, Rystedt I (1985b) Hand eczema among hard-metal workers. Am J Ind Med 8 381-394 Fischer T, Rystedt I (1990) Influence of topical metal binding substances, vehicles, and corticosteroid creams on the allergic patch test reaction in metal-sensitive patients. Dermatol Clin... 

Field workers may be exposed to allergenic plants such as jasmine [392], leatherleaf fern [8], carnation [338] and Paeonia (Paeoniaceae) [393]. A mushroom picker in nursery developed hand eczema from allergic contact dermatitis to Agaricus bisporuSy while controls were negative [394]. A hobby gardener broke out to Verbena (Verbenaceae), which she applied as a poultice [395]. Orchid sensitivity is uncommon [396] but can occur in persons chronically exposed [397, 398]. 

Allergic rhinitis, asthma and/or atopic dermatitis were seen in 58 of 234 bakery employees (25%) 14 had atopic dermatitis. Of these 14, 3 had positive intracu-taneous tests to one or more of the flours they used. One of those who had a positive skin test experienced aggravation of hand eczema upon contact with flour, and another experienced aggravation of atopic dermatitis of the neck (Jarvinen et al. 1979). 

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