Occupational airborne allergic contact dermatitis from methacrylates in a dental nurse

Authors: Isaksson, Marléne; Zimerson, Erik1; Svedman, Cecilia1

Source: Contact Dermatitis, Volume 57, Number 6, December 2007 , pp. 371-375(5)

Publisher: Blackwell Publishing

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Abstract:

Background: 

There are very few reports of airborne allergic contact dermatitis from methacrylates. Objectives: 

To report a dental nurse with facial eczema supposedly caused by airborne methacrylates present in the work environment. Methods: 

Patch testing with serial dilutions of several methacrylates and work provocations in environments containing methacrylates was performed. Results: 

Patch testing with serial dilutions of several methacrylates disclosed a high patch test reactivity. Repeated provocations when working with methacrylates resulted in facial eczema that resolved out of work. Attempts to collect the sensitizers using air pumps for the collection of vapors and filters for the collection of air-born aerosols failed. Conclusions: 

The clinical presentation was that of a facial dermatitis due to airborne exposure to methacrylates. It seems likely that 1 or several of these allergens caused the dermatitis.

Keywords: airborne; allergic contact dermatitis; 2,2-bis(4-[2-hydroxy-3-methacryloxypropoxy]phenyl); dental clinic; ethylene glycol dimethacrylate; methacrylates; methyl methacrylate; occupational; triethyleneglycol dimethacrylate; volatile

Document Type: Research article

DOI: 10.1111/j.1600-0536.2007.01244.x

Affiliations: 1: Department of Occupational and Environmental Dermatology, University Hospital MAS, Lund University, SE-20502 Malmö, Sweden

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