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Highlights in allergic contact dermatitis 2018/2019

机译:过敏接触性皮炎亮点2018/2019

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Purpose of review The purpose was to highlight recent findings especially concerning new and old allergens, trends, diagnosis and causes of contact allergy. Recent findings Nickel is still the most frequent cause of contact allergy in women and piercings remain an important risk factor. Countries with a long history of regulation of contact allergens have the lowest level of contact allergy to nickel and chromium in Europe. Among the most frequent causes of fragrance contact allergy is terpenes, which are oxidized such as limonene, linalool and in some countries: geraniol. Methylisothiazolinone is still causing considerable problems due to hidden exposures. Acrylates are emerging allergens and 2-hydroxyethyl methacrylate has been included in the 2019 update of the baseline series, as many new cases are seen due to long-lasting nail polish based on acrylates and glue (isobornyl acrylate) in insulin pumps. More than 10 new allergens have been described, which need to be considered in diagnosing contact allergy. Summary Allergic contact dermatitis is a frequent problem, it also constitutes a challenge to diagnose due to many potential contact allergens. The main culprit allergens remain the same, new significant causes are found especially within acrylates.
机译:审查目的的目的是突出最近的调查结果,特别是关于新老化过敏原,趋势,诊断和接触过敏的原因。最近的发现镍仍然是女性接触过敏的最常见原因,穿孔仍然是一个重要的风险因素。具有悠久的接触过敏原历史的国家具有欧洲镍和铬的最低接触过敏水平。在香水接触过敏的最常见原因中是萜烯,其被氧化如柠檬烯,李纳洛尔和一些国家:小醇。由于隐藏的曝光,甲基异噻唑啉酮仍然导致相当大的问题。丙烯酸酯是出现的过敏原,2-羟乙基甲基丙烯酸甲酯已包含在2019年的基线系列的更新中,因为基于胰岛素泵中的丙烯酸酯和胶水(丙烯酸酯)的长持久的钉子抛光,可以看到许多新病例。已经描述了超过10种新过敏原,需要考虑在诊断接触过敏方面进行。发明内容过敏性接触性皮炎是常见的问题,它也构成了由于许多潜在的接触过敏原而诊断的挑战。主要罪魁祸首过敏原仍然是相同的,特别是在丙烯酸酯中发现了新的显着原因。

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