Occupational contact allergy in the building trade in Germany: influence of preventive measures and changing exposure

Geier, Johannes; Krautheim, Andrea; Uter, Wolfgang; Lessmann, Holger; Schnuch, Axel

doi:10.1007/s00420-010-0581-8

Cited by 119 publications

(128 citation statements)

References 17 publications

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“…Higher frequencies of ACD caused by chromium in the male population are common, although the difference in the incidence of hypersensitivity to chromium in men and women was not statistically significant. Men are often sensitised by contact with hexavalent chromium contained in cement 2,9,24 . To reduce the risk of sensitisation, regulatory measures were adopted by which ferrous sulphate is added to cement to reduce the content of hexavalent chromium.…”

Section: Discussionmentioning

confidence: 99%

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Allergic contact dermatitis and changes in the frequency of the causative allergens demonstrated with patch testing in 2008-2012

Tichý¹,

Karlová²

2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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and evaluate their dynamics in comparison with similar studies in the Czech Republic and internationally carried out in previous years. Methods. A total of 1941 patients with suspected ACD were examined using the patch tests from the European Standard Series. The data obtained were subjected to statistical analysis. Results. The most common contact allergy was to nickel (15.4%), the second most frequent allergen was Balsam of Peru (11.6%). The top five allergens in the whole sample also included, in descending order, fragrance-mix I (7.1%), cobalt chloride (6.4%), and Kathon CG (4.0%). While the order of contact allergens causing sensitisation in women is consistent with the results of the whole sample, in men instead of cobalt and Kathon CG, epoxy resin and chromium appeared among the five most common allergens. Conclusions. In the Czech Republic, despite existing EU legislation, action to reduce the frequency of sensitization to nickel failed in contrast to other EU countries. In addition to nickel, consistent preventive measures should be focused mainly on sensitization to Balsam of Peru, cobalt, epoxy resins, chromium and aromatic substances and preservatives used in the cosmetic industry.

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Section: Discussionmentioning

confidence: 99%

“…The EU regulation limiting the content of chromium in cement has been in force since January 2005 (ref. 2,24 ). According to some studies, positive results of these measures to reduce the incidence of contact allergy to chromium in workers in construction have been noted 9,24 .…”

Section: Discussionmentioning

confidence: 99%

Allergic contact dermatitis and changes in the frequency of the causative allergens demonstrated with patch testing in 2008-2012

Tichý¹,

Karlová²

2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Die Ergebnisse finden sich auch im Einklang mit internationalen Standardwerken [17]. [26]. Dies belegt den Erfolg der durchaus kostenintensiven präventiven Maßnahme, der schon viel früher in Skandinavien gezeigt worden war [27].…”

Section: Identifizierung Von Risikoberufen Und Berufsallergenenunclassified

“…Meist werden Kontaktallergien gegen Epoxidharze beruflich erworben, und zwar nach relativ kurzer Kontaktzeit der Haut (Monate) mit den Stoffen [26]. In den letzten Jahren wird aus der Schweiz über eine deutliche Zunahme von Epoxidharzallergien im Zusammenhang mit dem vermehrten Einsatz entsprechender Systeme beim Tunnelbau berichtet.…”

Section: Zunahme Der Epoxidharzallergie Im Baugewerbe: Ein "Sentinel unclassified

Klinische Epidemiologie und Prävention der Kontaktallergien

Schnuch

Uter

Lessmann

et al. 2012

Bundesgesundheitsbl.

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“…Nach den positiven Erfahrungen in den skandinavischen Ländern ist seit einigen Jahren nun auch in Deutschland der Chromatgehalt in händisch verarbeitetem Zement auf maximal 2 ppm wasserlösliches Chrom VI begrenzt. Seither ist, so konnte anhand von IVDK-Daten gezeigt werden, die Rate der Neusensibilisierungen gegen Dichromat bei Maurern, Fliesenlegern und Angehörigen verwandter Berufe signifikant zurückgegangen[3]. Der MO-AHLFA-Index der Chromat-Positiven mit hohen Anteilen von Männern, Berufsdermatosen und Patienten ab 40 Jahre (.…”

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Aktuelle Kontaktallergene

Geier¹,

Uter²,

Lessmann³

et al. 2011

Hautarzt

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Ever-changing exposure to contact allergens, partly due to statutory directives (e.g. nickel, chromate, methyldibromo glutaronitrile) or recommendations from industrial associations (e.g. hydroxyisohexyl 3-cyclohexene carboxaldehyde), requires on-going epidemiologic surveillance of contact allergy. In this paper, the current state with special focus in fragrances and preservatives is described on the basis of data of the Information Network of Departments of Dermatology (IVDK) of the year 2010. In 2010, 12,574 patients were patch tested in the dermatology departments belonging to the IVDK. Nickel is still the most frequent contact allergen. However the continuously improved EU nickel directive already has some beneficial effect; sensitization frequency in young women is dropping. In Germany, chromate-reduced cement has been in use now for several years, leading to a decline in chromate sensitization in brick-layers. Two fragrance mixes are part of the German baseline series; they are still relevant. The most important fragrances in these mixes still are oak moss absolute and hydroxyisohexyl 3-cyclohexene carboxaldehyde. However, in relation to these leading allergens, sensitization frequency to other fragrances contained in the mixes seems to be increasing. Among the preservatives, MCI/MI has not lost its importance as contact allergen, in contrast to MDBGN. Sources of MCI/MI sensitization obviously are increasingly found in occupational context. Methylisothiazolinone is a significant allergen in occupational settings, and less frequently in body care products.

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Occupational contact allergy in the building trade in Germany: influence of preventive measures and changing exposure

Cited by 119 publications

References 17 publications

Allergic contact dermatitis and changes in the frequency of the causative allergens demonstrated with patch testing in 2008-2012

Allergic contact dermatitis and changes in the frequency of the causative allergens demonstrated with patch testing in 2008-2012

Klinische Epidemiologie und Prävention der Kontaktallergien

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