Airborne contact dermatitis - current perspectives in etiopathogenesis and management

Abstract

The increasing recognition of occupational origin of airborne contact dermatitis has brought the focus on the variety of irritants, which can present with this typical morphological picture. At the same time, airborne allergic contact dermatitis secondary to plant antigens, especially to Compositae family, continues to be rampant in many parts of the world, especially in the Indian subcontinent. The recognition of the contactant may be difficult to ascertain and the treatment may be even more difficult. The present review focuses on the epidemiological, clinical and therapeutic issues in airborne contact dermatitis.

Mesleksel Havayla Taşınan (Airborne) Kontakt Dermatitler

“…Havayla Taşınan (Airborne) kontakt dermatitler (ABKD) toz, sprey, polen ve uçucu kimyasalların duman veya partiküllerinin havayoluyla deriye teması sonucu oluşan bir kontakt dermatit formudur (1). Bir kontakt dermatitin havayolu aracılığıyla meydana geldiğini söyleyebilmek için; toz, damlacık veya uçucu bir ajanın ortamda bulunması, hastanın öy-küsü ve takipleri, lezyonların klinik dağılımı ve epikutanöz testler ile sorumlu ajanın belirlenmesi gerekmektedir (1)(2).…”

“…Bir kontakt dermatitin havayolu aracılığıyla meydana geldiğini söyleyebilmek için; toz, damlacık veya uçucu bir ajanın ortamda bulunması, hastanın öy-küsü ve takipleri, lezyonların klinik dağılımı ve epikutanöz testler ile sorumlu ajanın belirlenmesi gerekmektedir (1)(2). Kişiler Havayla Taşınan (Airborne) kontaktanlara direk/indirek temasla, sindirim yoluyla veya bitkisel kozmetikler aracılığıyla duyarlanabilirler.…”

An Overview of Airborne Contact Dermatitis

“…Light tests and photopatch tests can help in excluding photosensitive disorders. Air borne dermatitis can also be confused with dermatitis caused by directly applied agents, dermatitis caused by occasional contacts with an allergen, connubial or consort dermatitis, an id reaction and photoinduced reactions [8]. Irritant and allergic contact dermatitis of the face can occur due to the transfer of allergenic particles by nail polish.…”

“…Uncovered areas should be washed with soap and water so as to remove the antigen before it penetrates the skin. Barrier creams can also be used after every wash. Change of job and residence if possible can help in decreased exposure [8].…”

“…According to a classification by Dooms-Goossens, airborne contact dermatitis can be divided into different types [8] Other rare airborne skin reactions include exfoliative dermatitis, lichenoid papules, hyper-and depigmentation and targetoid lesions. One particular product can cause more than one type of reaction for example, P. hysterophorus can produce allergic contact dermatitis, photocontact dermatitis and lichenoid eruption.…”