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Epidemiological data on airborne contact dermatitis – results of the IVDK
Author(s) -
Breuer Kristine,
Uter Wolfgang,
Geier Johannes
Publication year - 2015
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/cod.12455
Subject(s) - medicine , dermatology , contact dermatitis , epidemiology , allergic contact dermatitis , patch test , occupational dermatitis , culprit , sensitization , occupational medicine , allergy , immunology , myocardial infarction
Summary Background Airborne contact dermatitis ( AirbCD ) is not uncommon, according to a large number of published case reports and review articles. Epidemiological data on AirbCD based on larger clinical samples have not yet been published. Objectives To investigate demographic characteristics and patch test reactivity in patients diagnosed with both occupational and non‐occupational AirbCD . Methods A retrospective analysis of data from the I nformation N etwork of D epartments of D ermatology ( IVDK ), 1994–2013, including 201 344 consecutively patch tested patients, was performed. Results One thousand two hundred and three patients (0.6%) were diagnosed with AirbCD , 421 (35.0%) of these with an occupational background. Occupational dermatitis and face involvement were more prevalent than in patients without AirbCD (n = 200 141). Sensitization to epoxy resin and sensitization to methylchloroisothiazolinone ( MCI )/methylisothiazolinone ( MI ) were significantly associated with AirbCD , and there was a trend for sensitization to C ompositae mix and/or sesquiterpene lactone mix to be associated with AirbCD . Adhesives, plastics, construction materials, paints and varnishes in occupational cases, and plants in non‐occupational cases, were the most commonly documented culprit product categories. Conclusions AirbCD is more common in patients with occupational dermatitis than in patients with non‐occupational dermatitis. In our clinical sample, components of epoxy resin systems, MCI / MI and C ompositae allergens were the most important contact allergens associated with AirbCD . Patch testing with additional allergens is important.