Cutis 2021
DOI: 10.12788/cutis.0305
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Formaldehyde-Induced Contact Dermatitis From an N95 Respirator Mask

Abstract: Prolonged wearing of N95 respirator masks has been associated with causing or complicating a number of facial inflammatory dermatoses.• Consider the possibility of contact dermatitis secondary to formaldehyde exposure in individuals wearing N95 masks for prolonged periods.• Information on the chemical components of N95 masks would be useful for clinicians tasked with evaluating patients with facial inflammatory dermatoses.

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Cited by 3 publications
(2 citation statements)
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“…Causative agents for OACD to FPE include rubber accelerators, such as mercaptobenzothiazole in the rubber straps of N95 masks and thiuram and carba components in the elastic bands [52,53]. Allergens previously described but reported again include formaldehyde (both N95 and surgical masks, potentially from the nose foam, filter or shell), formaldehyde releasers and nickel in the metal nose piece [51 ▪ ,54,55]. Potassium dichromate and 4-tert-butylphenol-formaldehyde resin were identified as potential allergens via patch testing in an observational study of patients with skin disease worsened by mask wearing [56].…”
Section: Specific Exposuresmentioning
confidence: 99%
“…Causative agents for OACD to FPE include rubber accelerators, such as mercaptobenzothiazole in the rubber straps of N95 masks and thiuram and carba components in the elastic bands [52,53]. Allergens previously described but reported again include formaldehyde (both N95 and surgical masks, potentially from the nose foam, filter or shell), formaldehyde releasers and nickel in the metal nose piece [51 ▪ ,54,55]. Potassium dichromate and 4-tert-butylphenol-formaldehyde resin were identified as potential allergens via patch testing in an observational study of patients with skin disease worsened by mask wearing [56].…”
Section: Specific Exposuresmentioning
confidence: 99%
“…However, because the N95/KN95 respirator fits tighter on the face, it is responsible for more ASRs compared to surgical masks ( 24 ). Formaldehyde has been detected in N95/KN95 respirators, accelerating the possible development of ACD ( 30 , 41 , 42 ). In addition, the elastic bands of the N95 respirator along with the sponge strip in the masks have been reported to contribute to the occurrence of ACD.…”
Section: Contact Dermatitis Caused By Ppe During the Covid-19 Pandemicmentioning
confidence: 99%