Pustular allergic contact dermatitis of the dorsum of hands related to rubber gloves additives

Merhy, Reine; Weill, A.; Ingen‐Housz‐Oro, Saskia; Assier, Haudrey

doi:10.1111/cod.14124

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Thiuram tests are the best screening tests for diagnosing an allergy to the thiurams-dithiocarbamates family. 39 The proportion of patients sensitised to glove allergens (28%) or to their own gloves (14%), with a total of 32.6% sensitised patients in our series, seems high. In 2016, in a study including healthcare workers with HE, Ibler found 7.5% of sensitisation, but only the EBS had been tested.…”

Section: Discussionmentioning

confidence: 51%

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Hand eczema in glove‐wearing patients

et al. 2023

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Background Allergic contact dermatitis to gloves is mostly induced by rubber accelerators. The European baseline series (EBS) appears insufficient to detect glove allergy. Since 2017, it is recommended to use the European rubber series (ERS) and to test the patients' own gloves. Objectives To investigate the clinical profile of glove‐wearing patients with hand eczema (HE) and to evaluate their sensitisation profile to glove allergens and the value of testing the patients' own gloves. Methods We conducted a French multicentre study of patients evaluated for HE between 2018 and 2020 and tested with the EBS, the ERS and their own gloves in patch tests and semi‐open (SO) tests. Results A total of 279 patients were included; 32.6% of patients had positive tests to their own gloves or to glove allergens. Almost 45% of the sensitisations to glove allergens were detected only by the ERS. Among the patients tested both in patch tests and SO tests with their own gloves with positive results, 28% had positive SO tests only. Polyvinylchloride (PVC) gloves were positive in four patients. Conclusion Our series confirms the need to test the ERS. All the patients' gloves must also be tested including PVC gloves. SO tests with gloves are useful as a complement to patch tests.

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Section: Discussionmentioning

confidence: 51%

“…This has been confirmed in our study, with 75% of patients sensitised to dithiocarbamates who had positive patch tests to thiurams. Thiuram tests are the best screening tests for diagnosing an allergy to the thiurams‐dithiocarbamates family 39 …”

Section: Discussionmentioning

confidence: 99%

Hand eczema in glove‐wearing patients

et al. 2023

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“…5 Respiratory symptoms provoked by the same agent while inhaled are quite common in patients with PCD. 6 Pustular ACD is rare and has been reported with fragrances, colophonium, rubber additives, textile dyes, triethanolamine and benzoic acid, [7][8][9][10][11] confirmed by pustular patch test reactions. In the case of our patient, pustular ACD to aromatic herbs is possible as at least ACD to rosemary, thyme, basil and lavender has previously been described and confirmed by patch testing.…”

Section: Discussionmentioning

confidence: 99%

First case of occupational protein contact dermatitis to aromatic herbs with pustular allergic contact dermatitis to plants

Menanteau,

Bensefa‐Colas,

Crepy

2023

Contact Dermatitis

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Differential diagnosis of contact dermatitis: A practical‐approach review by the EADV Task Force on contact dermatitis

Pesqué,

Aerts,

Bizjak

et al. 2024

Acad Dermatol Venereol

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The diagnosis of eczema (‘dermatitis’) is mostly clinical and depends on the clinical history and exploratory objective findings (primary lesions, patterns). Contact dermatitis remains as an important condition in the group of eczematous disorders, with important socioeconomic and occupational relevance. Although irritant and allergic contact dermatitis have a different pathogenesis, both are characterized by a rather typical morphology, are triggered by external factors and tend to occur primarily in the area of contact with the exogenous agent. In addition, allergic and irritant dermatitis may also co‐exist. The importance of diagnosing contact dermatitis, especially when allergic in nature, is both due to the possibility of avoiding the trigger, and due to its role in aggravating other skin conditions. Nevertheless, the heterogeneity of clinical presentations in daily practice may pose an important challenge for the suspicion and correct diagnosis of contact dermatitis. Furthermore, other conditions, with different pathogenesis and treatment, may clinically simulate contact dermatitis. The Task Force aims to conduct a review of the unifying clinical features of contact dermatitis and characterize its main clinical phenotypes, and its simulators, in order to contribute to an early suspicion or recognition of contact dermatitis and enable a correct differential diagnosis.

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Pustular allergic contact dermatitis of the dorsum of hands related to rubber gloves additives

Cited by 3 publications

References 11 publications

Hand eczema in glove‐wearing patients

Hand eczema in glove‐wearing patients

First case of occupational protein contact dermatitis to aromatic herbs with pustular allergic contact dermatitis to plants

Differential diagnosis of contact dermatitis: A practical‐approach review by the EADV Task Force on contact dermatitis

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