Occupational Contact Dermatitis Caused by Artichokes

Deydier, Numa; Gourier, Greta; Crépy, M.-N.; Roguedas, A.-M.; Dewitte, Jean‐Dominique; Miséry, Laurent; Loddé, Brice

doi:10.1097/der.0000000000000825

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Florists and greenhouse workers continue to be at a high risk of OACD, with hydrangeas (hydrangeol) being a new occupational exposure recently reported [32]. OACD to sesquiterpene lactones in artichokes seems to be increasingly reported with cases noted in agricultural workers and grocery store employees [33,34]. Hand dermatitis is a common presentation, although there have also been cases of facial dermatitis due to airborne sesquiterpene lactones in artichokes.…”

Section: Plantsmentioning

confidence: 99%

New causes of occupational allergic contact dermatitis

Clynick,

Holness

2023

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review Occupational allergic contact dermatitis (OACD) is an important work-related skin disease. Information about the causative agents comes from many sources, including patch test databases, registries, case series and case reports. This review summarizes new information about common causative allergens and diagnosis. Recent findings Common causes of OACD include rubber components, epoxies and preservatives. New exposure sources for these allergens continue to be described. Often these exposure sources are related to the changing world around us, such as allergens related to smartphones and technology, and personal protective equipment-related exposures during the COVID-19 pandemic. New allergens are also being described, some of which are related to known allergens (e.g. a new epoxy or acrylate component). Accurate diagnosis is critical to effective management of OACD, which may include removing the worker from exposure to the causative allergen. Safety data sheets may not contain complete information and patch testing with specialized series of allergens and workplace materials may be necessary. Summary This review provides current evidence about causes of OACD and important aspects of diagnosis. This is important for clinical practice to ensure cases of OACD are not missed.

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Section: Plantsmentioning

confidence: 99%

New causes of occupational allergic contact dermatitis

Clynick,

Holness

2023

Current Opinion in Allergy &Amp; Clinical Immunology

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“… 20 , 22 , 24 , 45 Chronic ICD may be caused by any substance that causes acute ICD, which in small concentrations can produce effects that cause chronic skin damage (even water, in cases of frequent hand washing, working in water, showering, bathing, etc.). 24 , 46 , 47 On the other hand, in ACD, skin lesions are caused by immune reactions and sensitivity to some substances (allergens) through T cells, which occurs through the sensitization phase (afferent) and the excitation phase (efferent) (Figure 1 ). 48 The results of the patch test (PT), which is used to investigate and prove a delayed hypersensitivity reaction (type IV), are the most important diagnostic indicator in differentiating between stimulation and ACD.…”

Section: Mechanisms Of Allergic Reactions Caused By Heavy Metalsmentioning

confidence: 99%

Systemic allergic contact dermatitis to palladium, platinum, and titanium: mechanisms, clinical manifestations, prevalence, and therapeutic approaches

Sadrolvaezin,

Pezhman,

Zare

et al. 2023

MedComm

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Contact dermatitis (CD) is an inflammatory skin disease of eczema that is elicited by chemicals or metal ions that have toxic effects without eliciting a T‐cell response (contact elicitation) or by small reactive chemicals that modify proteins and induce innate and adaptive immune responses (contact allergens). The clinical condition is characterized by localized skin rash, pruritus, redness, swelling, and lesions, which are mainly detected by patch tests and lymphocyte stimulation. Heavy metals such as palladium (Pd), platinum (Pt), and titanium (Ti) are ubiquitous in our environment. These heavy metals have shown CD effects as allergic agents. Immunological responses result from the interaction of cytokines and T cells. Occupational metal CD accounts for most cases of work‐related cutaneous disorders. In this systematic review, the allergic effects of heavy metals, including Pd, Pt, and Ti, and the mechanisms, clinical manifestations, prevalence, and therapeutic approaches are discussed in detail. Furthermore, the therapeutic approaches introduced to treat CD, including corticosteroids, topical calcineurin inhibitors, systemic immunosuppressive agents, phototherapy, and antihistamines, can be effective in the treatment of these diseases in the future. Ultimately, the insights identified could lead to improved therapeutic and diagnostic pathways.

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Occupational Hand Dermatitis

Karagounis

Cohen

2023

Curr Allergy Asthma Rep

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Purpose of Review Occupational hand dermatitis is a common work-related disorder of the skin. Prevention and management of this disease is critical to improving workers’ quality of life and for occupation-specific retention. Recent Findings This is a critical review of the current literature on occupational hand dermatitis. Occupational dermatitis continues to have a high prevalence among workers although the overall incidence may be slowly decreasing. Irritant contact dermatitis due to wet work exposure is the most common cause of occupational hand dermatitis. Healthcare workers, hairdressers, and metal workers are at particularly high risk for this disease. While some prevention programs have been ineffective in mitigating occupational hand dermatitis, other more resource-intensive initiatives may have benefit. Summary Continued research is needed on ways to manage wet work exposures and on scalable, effective prevention programs for occupational hand dermatitis. The spectrum of culprit contact allergens continues to evolve, and vigilance for potential occupation-specific allergens remains important.

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Occupational Contact Dermatitis Caused by Artichokes

Cited by 4 publications

References 21 publications

New causes of occupational allergic contact dermatitis

New causes of occupational allergic contact dermatitis

Systemic allergic contact dermatitis to palladium, platinum, and titanium: mechanisms, clinical manifestations, prevalence, and therapeutic approaches

Occupational Hand Dermatitis

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