Objective: This study examines monomer permeation of commercial dental adhesive through nitrile-based gloves, and correlates findings with clinical case studies of dental students having localized skin eruptions following resin placement on a gloved hand to manipulate composite.Methods: Three dental students self-reported presenting itchy, red skin lesions underneath the area where they placed uncured adhesive resin on a nitrile-gloved hand. Histories and cursory examinations were performed in the Department of Dermatology at The Medical College of Georgia. Infrared spectroscopic methods were used to determine permeation times of known monomer components of commercial adhesive material used through nitrile glove. Monomer permeation times were correlated with the time when the commercial adhesive first applied and penetrated through the glove.Results: Assessment by the dermatologist concluded that the reporting students had occupational contact dermatitis resulting from components of the adhesive permeating through the barrier glove. Permeation times of neat monomer components of the adhesive resin varied over a wide range, with lower molecular weight showing faster pass-through times. Spectroscopic interpretation indicated that the probable causative agent for the student's skin reaction was 2-hydroxyethyl methacrylate (HEMA).Conclusions: Probable correlation of the observed skin reaction sites was made with diffusion of HEMA in the uncured dental adhesive formulation through nitrile glove material.Clinical Significance: All measures to prevent skin contact with uncured methacrylate-based resin components should be taken, including avoidance of resin permeation through a gloved hand. Sensitization to one type of methacrylate can result in sensitization to other types of resins within this family, significantly impacting the careers of both dental auxiliaries as well as clinicians.
K E Y W O R D Sallergy, dental adhesive, glove permeability, methacrylate, occupational contact dermatitis
Blepharochalasis is a rare disorder of unknown etiology defined by loose, atrophic periorbital skin following recurrent episodes of eyelid edema. Characteristic histopathology shows complete absence of elastic fibers. The current case progressed after multiple episodes of crying, which may be related to matrix metalloproteinase dysregulation. This case offers further insights into the possible pathogenesis of blepharochalasis, paving the way for more targeted, disease-modifying therapies.
Estudio del apoyo metatarsal en bipedestación mediante podoscopio electrónico de alta resolución
Study of metatarsal weigh-bearing in standing position using electronic high-resolution podoscopy ResumenCon el jin de estudiar el apoyo metatarsal en bipedestación se han realizado 780 registros en la plataforma PDS 93, correspondientes a 390 individuos, no seleccionados, sin patología de la marcha, 234 varones y 156 mujeres, con edades comprendidas entre 24 y 41 años (edad media de 29,9 años).En cada registro se ha recogido la presión ejercida por cada metatarsiano, relacionando la carga obtenida con el peso, conjiguración mecánica del pie y huella plantar: Los resultados obtenidos se han procesado estadísticamente por medio del programa SPSS.El porcentaje de las cargas medias obtenidas para cada meta-
Scleredema is a rare and incompletely understood disorder characterized by progressive skin thickening and induration typically affecting the trunk, neck, and proximal upper extremities. Hand and finger involvement is exceptionally rare, having been reported in only two infection-related cases. We present an atypical case of postinfectious scleredema involving the hands and discuss scleredema as an important potential cause of hand tightness and induration in adolescents.
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