Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Allergic contact dermatitis to synthetic rubber gloves: changing trends in patch test reactions to accelerators.

Authors
Cao-LY; Taylor-JS; Sood-A; Murray-D; Siegel-PD
Source
Arch Dermatol 2010 Sep; 146(9):1001-1007
NIOSHTIC No.
20037735
Abstract
Background: Rubber gloves are one of the most frequent causes of occupational allergic contact dermatitis, especially in health care workers. Observations: We describe 23 patients with allergic contact dermatitis due to rubber accelerators in rubber gloves, some with disseminated dermatitis, treated during a 2-year period. Three had IgE-mediated latex allergies. Sixteen were health care workers from a single institution whose dermatitis was temporally related to the switch to latex-safe gloves. Each had positive patch test reactions to 1 or more rubber accelerators, including carbamates, thiurams, 2-mercaptobenzothiazole, and 1,3-diphenylguanidine. Chemical analysis of 6 glove samples identified 2-mercaptobenzothiazole in 4 and zinc diethyldithiocarbamate in 1. There were discordances between patch test results for glove chemicals and glove swatches and between available information on chemicals used during glove production and chemicals detected during glove analysis. Although these factors may complicate the search for culprit and alternative gloves, dermatitis cleared in each of 9 patients with follow-up data and for whom alternative gloves were provided based on published information of glove composition. Conclusions: Allergic contact dermatitis due to synthetic rubber gloves occurs even with the use of latex-safe products. More knowledge about chemicals present in these gloves, to which the skin is exposed during use, is necessary to prevent and treat allergic contact dermatitis.
Keywords
Dermatitis; Allergic-dermatitis; Allergic-reactions; Allergies; Skin-exposure; Skin-sensitivity; Health-care-personnel; Gloves; Carbamates; Thiuram-compounds; Guanidines; Thiazoles; Mercaptans; Zinc-compounds; Patch-tests; Synthetic-rubbers; Chemical-hypersensitivity; Author Keywords: Health-Care Workers; Cross-Sectional Data; IV Allergy; Protective Gloves; Latex Allergy; Frequency; Chemicals; Alternatives; Prevalence; Occupation
Contact
James S. Taylor, MD, A-61, Department of Dermatology, Dermatology-Plastic Surgery Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195
CODEN
ARDEAC
CAS No.
149-30-4; 137-30-4; 102-06-7
Publication Date
20100901
Document Type
Journal Article
Email Address
taylorj@ccf.org
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Issue of Publication
9
ISSN
0003-987X
NIOSH Division
HELD
Source Name
Archives of Dermatology
State
OH; WV
TOP