1978
DOI: 10.1111/j.1600-0536.1978.tb03715.x
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Solubility of cobalt in cement

Abstract: Unlike chromate, cobalt occurring as cobalt oxides in cement is not water-soluble in a detectable amount. Cobalt oxides are to some extent soluble in the presence of amino acids with which cobalt forms complexes. Such complexes can elicit patch test reactions. It is postulated that cobalt is more readily dissolved by forming complexes in eczematous skin than in normal skin. This may explain why cobalt sensitization in cement eczemas is secondary to chromate sensitivity.

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Cited by 42 publications
(11 citation statements)
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“…The conclusion is that nickel sensitivity in combination with irritant eczema induces a high risk of developing cobalt allergy. From our investigation, it is not possible to conclude which are the primary and secondary events, but most facts earlier presented indicate that nickel sensitivity followed by irritant dermatitis of the hands appears first, and that cobalt sensitivity is a secondary phenomenon (15)(16)(17). It is possible that a pre-existant nickel allergy increases the risk of developing cobalt allergy, not only because of the high frequency of hand eczema among nickel sensitive individuals but also due to unknown immunological factors (18,19).…”
Section: Discussionmentioning
confidence: 63%
“…The conclusion is that nickel sensitivity in combination with irritant eczema induces a high risk of developing cobalt allergy. From our investigation, it is not possible to conclude which are the primary and secondary events, but most facts earlier presented indicate that nickel sensitivity followed by irritant dermatitis of the hands appears first, and that cobalt sensitivity is a secondary phenomenon (15)(16)(17). It is possible that a pre-existant nickel allergy increases the risk of developing cobalt allergy, not only because of the high frequency of hand eczema among nickel sensitive individuals but also due to unknown immunological factors (18,19).…”
Section: Discussionmentioning
confidence: 63%
“…It is because cobalt and nickel are present in insoluble form that has very low sensitization potential. [17] Thus, allergy to these metals is usually secondary in the setting of damaged skin incurred upon by the existing chromate allergy. Greater the clinical severity of chromate allergy, more is the chance of sensitization from cobalt and nickel.…”
Section: Discussionmentioning
confidence: 99%
“…Greater the clinical severity of chromate allergy, more is the chance of sensitization from cobalt and nickel. [17]…”
Section: Discussionmentioning
confidence: 99%
“…Workers with concomitant sensitizations to cobalt or rubber chemicals may have a wor-se prognosis (12). Sensitization to cobalt (13) and to rubber chemicals (14) are relevant secondary sensitizations among workers in the construction industries. Although epoxy resin is used in repairing concrete building components, no epoxy-sensitized workers were found in the current study.…”
Section: Medical Statusmentioning
confidence: 99%